Healthcare Provider Details

I. General information

NPI: 1598550311
Provider Name (Legal Business Name): ALYSSA BARILARO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALYSSA WILLIAMS LPC

II. Dates (important events)

Enumeration Date: 04/11/2025
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S CHURCH ST STE 18
MOUNT LAUREL NJ
08054-2936
US

IV. Provider business mailing address

256 TAM OSHANTER RD
MOUNT LAUREL NJ
08054-2707
US

V. Phone/Fax

Practice location:
  • Phone: 732-908-2696
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01192400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: