Provider Demographics
NPI:1437534211
Name:BEACH, ALLISON (MS, RDN, CSR, LD)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:BEACH
Suffix:
Gender:F
Credentials:MS, RDN, CSR, LD
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:ELLIOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2104 LARKSPUR DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4134
Mailing Address - Country:US
Mailing Address - Phone:469-892-8518
Mailing Address - Fax:469-896-4824
Practice Address - Street 1:6275 W PLANO PKWY STE 500
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4942
Practice Address - Country:US
Practice Address - Phone:469-892-8518
Practice Address - Fax:469-896-4824
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-22
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT83397133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered