Healthcare Provider Details

I. General information

NPI: 1447849757
Provider Name (Legal Business Name): ALLYSON IRENE SKOPELITES MA, LCMHC, MLADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2021
Last Update Date: 04/30/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 TURNPIKE ST STE 302
NORTH ANDOVER MA
01845-6138
US

IV. Provider business mailing address

790 TURNPIKE ST STE 302
NORTH ANDOVER MA
01845-6138
US

V. Phone/Fax

Practice location:
  • Phone: 978-655-7782
  • Fax:
Mailing address:
  • Phone: 978-655-7782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1205
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC5000779
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2418
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: