Healthcare Provider Details

I. General information

NPI: 1194135996
Provider Name (Legal Business Name): ALISA SAWYER LMHC, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2014
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 MOHAWK ST SUITE 100
COHOES NY
12047-2600
US

IV. Provider business mailing address

55 MOHAWK ST SUITE 100
COHOES NY
12047-2600
US

V. Phone/Fax

Practice location:
  • Phone: 518-235-1100
  • Fax:
Mailing address:
  • Phone: 518-235-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number007286-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: