Healthcare Provider Details

I. General information

NPI: 1104747351
Provider Name (Legal Business Name): ALYSSA HELEN TOWNSEND CSC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

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

3983 LOWER MOUNTAIN RD
LOCKPORT NY
14094-9793
US

IV. Provider business mailing address

3983 LOWER MOUNTAIN RD
LOCKPORT NY
14094-9793
US

V. Phone/Fax

Practice location:
  • Phone: 716-550-2062
  • Fax:
Mailing address:
  • Phone: 716-550-2062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number1938606251
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: