Provider Demographics
NPI:1184048167
Name:ALYSON HALAS PSYCHOTHERAPY LLC
Entity type:Organization
Organization Name:ALYSON HALAS PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALYSON
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HALAS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-313-3478
Mailing Address - Street 1:9 TIMBER CREST DR
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-2704
Mailing Address - Country:US
Mailing Address - Phone:203-313-3478
Mailing Address - Fax:
Practice Address - Street 1:103 MILL PLAIN RD
Practice Address - Street 2:STE 106
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-5171
Practice Address - Country:US
Practice Address - Phone:203-313-3478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-11
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0079621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty