Most Relevant Information
Provider Data
| NPI Number: | 1003399007 |
| Provider Name: | ALYSSA CHERISE LIVANOS MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/14/2018 |
| Last Updated: | 12/29/2022 |
Provider Practice Location
405 PETTIGRU ST
GREENVILLE
SC
296013114
Practice Location Phone/Fax
| Phone: | 8642713549 |
| Fax: |
Provider Mailing Location
405 PETTIGRU ST
GREENVILLE
SC
296013114
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |