Provider Demographics
NPI:1366114274
Name:GARVEY, ALYSON L (LCSW)
Entity type:Individual
Prefix:MS
First Name:ALYSON
Middle Name:L
Last Name:GARVEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288 KILLIAN WAY
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-4197
Mailing Address - Country:US
Mailing Address - Phone:615-719-3496
Mailing Address - Fax:
Practice Address - Street 1:288 KILLIAN WAY
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-4197
Practice Address - Country:US
Practice Address - Phone:615-719-3496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000047281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical