Provider Demographics
NPI:1073363867
Name:BURRELL, ALLISON CHELSEY (LPC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:CHELSEY
Last Name:BURRELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2102 W LOOP 289 APT 197
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-1788
Mailing Address - Country:US
Mailing Address - Phone:806-559-1824
Mailing Address - Fax:
Practice Address - Street 1:2102 W LOOP 289 APT 197
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79407-1788
Practice Address - Country:US
Practice Address - Phone:806-559-1824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86296101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health