Provider Demographics
NPI:1093090425
Name:ALLEN, KAY (LMHC LCPC LPCC)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LMHC LCPC LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5451 MILLENIA LAKES BLVD
Mailing Address - Street 2:APT. 302
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839
Mailing Address - Country:US
Mailing Address - Phone:407-704-3381
Mailing Address - Fax:866-385-6097
Practice Address - Street 1:4700 MILLENIA BLVD STE 500
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-6019
Practice Address - Country:US
Practice Address - Phone:407-704-3381
Practice Address - Fax:866-385-6097
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18099101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty