Provider Demographics
NPI:1336639608
Name:MCALLISTER, VIRGILEE B (BS)
Entity Type:Individual
Prefix:
First Name:VIRGILEE
Middle Name:B
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:VIRGILEE
Other - Middle Name:
Other - Last Name:BENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13840 77TH PL N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-2104
Mailing Address - Country:US
Mailing Address - Phone:561-985-3476
Mailing Address - Fax:
Practice Address - Street 1:1100 N MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430
Practice Address - Country:US
Practice Address - Phone:561-884-4815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-12
Last Update Date:2018-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor