Provider Demographics
NPI:1194153536
Name:DEMPSEY, ALLISON (LMHC, LPC, BCBA)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:LMHC, LPC, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4530 SAINT JOHNS AVE STE 15-214
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-1852
Mailing Address - Country:US
Mailing Address - Phone:904-419-9864
Mailing Address - Fax:904-212-0929
Practice Address - Street 1:1912 HAMILTON ST STE 108
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-2077
Practice Address - Country:US
Practice Address - Phone:904-419-9864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-22
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI21120-875101YP2500X
FL1-18-31957103K00000X
FLMH18971101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst