MEDICARE: ALISON CHERIE NEIHARDT LPC

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	6401010342	MI

General Provider Information

NPI Number	:	1376708156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON CHERIE NEIHARDT LPC

Provider Business Mailing Address
First Line	:	4229 MITCHELL CREEK DR # B-5
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-8417
Country	:	US
Telephone Number	:	231-590-4812
Fax Number	:

Provider Business Practice Location Address
First Line	:	4229 MITCHELL CREEK DR
Second Line	:	B-5
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-8417
Country	:	US
Telephone Number	:	231-590-4812
Fax Number	:

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

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	11/01/2013

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