Provider Demographics
NPI:1477188753
Name:EBEY, ALLYSON (LPC, CFRC)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:EBEY
Suffix:
Gender:F
Credentials:LPC, CFRC
Other - Prefix:
Other - First Name:ALLYSON
Other - Middle Name:
Other - Last Name:GREER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, CFRC
Mailing Address - Street 1:916 HACKBERRY DR
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-5193
Mailing Address - Country:US
Mailing Address - Phone:318-422-6792
Mailing Address - Fax:
Practice Address - Street 1:9189 LINWOOD AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71106-6509
Practice Address - Country:US
Practice Address - Phone:318-935-9585
Practice Address - Fax:318-421-3193
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-07
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8089101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty