Healthcare Provider Details

I. General information

NPI: 1730795675
Provider Name (Legal Business Name): ALYSON FLASH MMTH, MS, CRC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2020
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 MAIN ST STE 600
DICKSON CITY PA
18519-1774
US

IV. Provider business mailing address

418 MAIN ST STE 600
DICKSON CITY PA
18519-1774
US

V. Phone/Fax

Practice location:
  • Phone: 570-677-2411
  • Fax:
Mailing address:
  • Phone: 570-677-2411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC013508
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: