Provider Demographics
NPI:1467194068
Name:MAHONEY, ALLISON (LAC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:MAHONEY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PINEY KNOB RD
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:NC
Mailing Address - Zip Code:28753-9027
Mailing Address - Country:US
Mailing Address - Phone:793-943-6733
Mailing Address - Fax:
Practice Address - Street 1:43 GROVE ST STE 2
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3265
Practice Address - Country:US
Practice Address - Phone:828-484-6455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC952171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist