Provider Demographics
NPI:1508818352
Name:ALLEN, LANA SUE (LCSW, LMFT, LMHC)
Entity Type:Individual
Prefix:MS
First Name:LANA
Middle Name:SUE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LCSW, LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7098 W HOOSIER LINKS DR
Mailing Address - Street 2:
Mailing Address - City:NEW PALESTINE
Mailing Address - State:IN
Mailing Address - Zip Code:46163-9305
Mailing Address - Country:US
Mailing Address - Phone:317-697-8847
Mailing Address - Fax:317-861-8611
Practice Address - Street 1:16 E MAIN STREET
Practice Address - Street 2:
Practice Address - City:NEW PALESTINE
Practice Address - State:IN
Practice Address - Zip Code:46163-9305
Practice Address - Country:US
Practice Address - Phone:317-697-8847
Practice Address - Fax:317-861-8611
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34002427A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health