Provider Demographics
NPI:1518097658
Name:ALLISON, AMY MICHELLE (MS)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MICHELLE
Last Name:ALLISON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 BLAIR DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-1766
Mailing Address - Country:US
Mailing Address - Phone:931-920-2347
Mailing Address - Fax:931-553-8742
Practice Address - Street 1:404 PAGEANT LN
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-3865
Practice Address - Country:US
Practice Address - Phone:931-920-2347
Practice Address - Fax:931-553-8742
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health