Provider Demographics
NPI:1003258880
Name:BECKER, ALLISON LINDSAY (LPC, MED, BA)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:LINDSAY
Last Name:BECKER
Suffix:
Gender:F
Credentials:LPC, MED, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 MEADOWLARK LN
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-7501
Mailing Address - Country:US
Mailing Address - Phone:631-553-9460
Mailing Address - Fax:
Practice Address - Street 1:1109 MEADOWLARK LN
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-7501
Practice Address - Country:US
Practice Address - Phone:631-553-9460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9992101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional