Provider Demographics
NPI: | 1891504148 |
---|---|
Name: | ALLISON PARRIS OWEN LMFT LLC |
Entity type: | Organization |
Organization Name: | ALLISON PARRIS OWEN LMFT LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | THERAPIST/OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ALLISON |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | OWEN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LMFT |
Authorized Official - Phone: | 229-560-2501 |
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 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-01-02 |
Last Update Date: | 2025-01-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Single Specialty |