Provider Demographics
NPI:1104538073
Name:BATES, ALLISON EMILY (LPC, MED, NCC)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:EMILY
Last Name:BATES
Suffix:
Gender:F
Credentials:LPC, MED, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 N ALSTON ST STE A
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-3510
Mailing Address - Country:US
Mailing Address - Phone:205-601-8311
Mailing Address - Fax:
Practice Address - Street 1:820 N ALSTON ST STE A
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-3510
Practice Address - Country:US
Practice Address - Phone:251-279-0860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-21
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC05470101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor