NPI 1124432067 · live from the CMS NPI Registry
Theresa C Allen, M.A., LPC
Counselor, Professional in Anderson, SC. National Provider Identifier 1124432067, active.
NPI record
| NPI | 1124432067 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 2315 N Main St, Ste 211-F, Anderson, SC 29621 |
| Practice phone | 864-369-5172 |
| Mailing address | 208 Brock Ave, Honea Path, SC 29654 |
| Enumerated | June 18, 2014 |
| Last updated | May 20, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | 5706 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.