Provider Demographics
NPI:1588484810
Name:UDDIN, ALLISON MICHELLE (LMHP)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:MICHELLE
Last Name:UDDIN
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17809 CYPRESS DR APT 916
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-4336
Mailing Address - Country:US
Mailing Address - Phone:308-539-4264
Mailing Address - Fax:
Practice Address - Street 1:6720 S 178TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68135-3055
Practice Address - Country:US
Practice Address - Phone:308-539-4264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2025-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE24131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical