MEDICARE: ALAYSIA SPRINGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1154285104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAYSIA SPRINGER

Provider Business Mailing Address
First Line	:	6301 SHELLMOUND ST APT 445
Second Line	:
City	:	EMERYVILLE
State	:	CA
Zip	:	94608-1481
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6301 SHELLMOUND ST APT 445
Second Line	:
City	:	EMERYVILLE
State	:	CA
Zip	:	94608-1481
Country	:	US
Telephone Number	:	616-980-6248
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ ALAYSIA SPRINGER ” Practice Location

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