Provider Demographics
NPI:1063652907
Name:WAHBI, ALLISON DANIELLE (LSW)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:DANIELLE
Last Name:WAHBI
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 W ELM ST
Mailing Address - Street 2:SUITE 213
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-4531
Mailing Address - Country:US
Mailing Address - Phone:901-451-9005
Mailing Address - Fax:901-373-3357
Practice Address - Street 1:105 W ELM ST
Practice Address - Street 2:SUITE 213
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-4531
Practice Address - Country:US
Practice Address - Phone:901-451-9005
Practice Address - Fax:901-373-3357
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker