Healthcare Provider Details

I. General information

NPI: 1891377883
Provider Name (Legal Business Name): ALYSSA PAIGE FRERS MA, LPC-ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2021
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2082 HWY 183 STE 170 #127
LEANDER TX
78641
US

IV. Provider business mailing address

2082 HWY 183 STE 170 #127
LEANDER TX
78641
US

V. Phone/Fax

Practice location:
  • Phone: 512-815-0350
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number84625
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: