Provider Demographics
NPI:1275778631
Name:ALLUMS, GERALD P (LMFT)
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:P
Last Name:ALLUMS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:JERRY
Other - Middle Name:P
Other - Last Name:ALLUMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:277 W MARTIN LUTHER KING, JR. BLVD, STE 203
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201
Mailing Address - Country:US
Mailing Address - Phone:478-745-2811
Mailing Address - Fax:478-745-0881
Practice Address - Street 1:277 MARTIN LUTHER KING JR BLVD STE 203
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-3498
Practice Address - Country:US
Practice Address - Phone:478-745-2811
Practice Address - Fax:478-745-0881
Is Sole Proprietor?:No
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000843106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist