Provider Demographics
NPI:1194922237
Name:OWEN, ALLISON PARRIS (LMFT)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:PARRIS
Last Name:OWEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:RENEE
Other - Last Name:PARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LAMFT
Mailing Address - Street 1:3790 OLD US HIGHWAY 41 N STE A
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-6865
Mailing Address - Country:US
Mailing Address - Phone:229-262-1000
Mailing Address - Fax:229-262-1085
Practice Address - Street 1:3790 OLD US HIGHWAY 41 N STE A
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-6865
Practice Address - Country:US
Practice Address - Phone:229-262-1000
Practice Address - Fax:229-262-1085
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003229735AMedicaid
GA12190217OtherCAQH