MEDICARE: ALYSSA HANLON

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	P134856	NY

General Provider Information

NPI Number	:	1346185253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA HANLON

Provider Business Mailing Address
First Line	:	44 MICHAELS LN
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12603-6352
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 MICHAELS LN
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12603-6352
Country	:	US
Telephone Number	:	845-392-5753
Fax Number	:

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

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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