Healthcare Provider Details

I. General information

NPI: 1417828302
Provider Name (Legal Business Name): ALYSSA MEISTER LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 ANNAPOLIS RD STE 300
LANHAM MD
20706-3125
US

IV. Provider business mailing address

704 CONOVER LN
PASADENA MD
21122-4735
US

V. Phone/Fax

Practice location:
  • Phone: 240-296-5848
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLGP17038
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: