Healthcare Provider Details

I. General information

NPI: 1285597138
Provider Name (Legal Business Name): ALISON M DYER LPC/ MHSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1570 WAVERLY RD
KINGSPORT TN
37664-2523
US

IV. Provider business mailing address

1167 SPRATLIN PARK DR
GRAY TN
37615-6205
US

V. Phone/Fax

Practice location:
  • Phone: 423-224-1300
  • Fax: 423-224-1375
Mailing address:
  • Phone: 423-467-3600
  • Fax: 423-467-3644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8406
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: