Healthcare Provider Details

I. General information

NPI: 1689595720
Provider Name (Legal Business Name): ALYSSA PAMMER LMHC LPC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 MORTON AVE
MONROE NJ
08831-8856
US

IV. Provider business mailing address

37 MORTON AVE
MONROE NJ
08831-8856
US

V. Phone/Fax

Practice location:
  • Phone: 516-512-1948
  • Fax:
Mailing address:
  • Phone: 516-512-1948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALYSSA PAMMER
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: M.A, LMHC, LPC
Phone: 516-512-1948