Healthcare Provider Details

I. General information

NPI: 1578484762
Provider Name (Legal Business Name): ALIZE AYALA ROSADO-COLELLA LMHC-D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALIZE AYALA ROSADO LMHC-D

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

419 WALNUT AVE
NIAGARA FALLS NY
14301-1761
US

IV. Provider business mailing address

97 DRIFTWOOD DR
GRAND ISLAND NY
14072-1812
US

V. Phone/Fax

Practice location:
  • Phone: 716-285-1904
  • Fax:
Mailing address:
  • Phone: 585-743-7330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number014863
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: