Provider Demographics
NPI:1508587197
Name:VIATOR, ALLISON SARA (ATR-P, LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:SARA
Last Name:VIATOR
Suffix:
Gender:F
Credentials:ATR-P, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S JUPITER RD APT 914
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-6004
Mailing Address - Country:US
Mailing Address - Phone:806-239-8332
Mailing Address - Fax:
Practice Address - Street 1:2007 N COLLINS BLVD STE 411
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2665
Practice Address - Country:US
Practice Address - Phone:972-544-6633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88782101YM0800X
TX22-216221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health