Provider Demographics
NPI:1699549972
Name:ALLYSON ROBERTSON LLC
Entity type:Organization
Organization Name:ALLYSON ROBERTSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN,IBCLC
Authorized Official - Phone:903-521-3248
Mailing Address - Street 1:10763 COUNTY ROAD 127 STE B
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:TX
Mailing Address - Zip Code:75762-7032
Mailing Address - Country:US
Mailing Address - Phone:903-521-3248
Mailing Address - Fax:855-840-8199
Practice Address - Street 1:10763 COUNTY ROAD 127 STE B
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:TX
Practice Address - Zip Code:75762-7032
Practice Address - Country:US
Practice Address - Phone:903-521-3248
Practice Address - Fax:855-840-8199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty