Healthcare Provider Details

I. General information

NPI: 1487088787
Provider Name (Legal Business Name): ALYSON MARCELL LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2013
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 OBERY ST STE 1
PLYMOUTH MA
02360-2480
US

IV. Provider business mailing address

53 CHRISTINA CT
DUXBURY MA
02332-3619
US

V. Phone/Fax

Practice location:
  • Phone: 774-205-2857
  • Fax:
Mailing address:
  • Phone: 617-704-0952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10178
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: