Provider Demographics
NPI:1548794019
Name:HEATON, ALLISON (LPC-MHSP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:HEATON
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 TURNER BROWN TRL SE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37323-7793
Mailing Address - Country:US
Mailing Address - Phone:423-314-8291
Mailing Address - Fax:
Practice Address - Street 1:161 TURNER BROWN TRL SE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37323-7793
Practice Address - Country:US
Practice Address - Phone:423-314-8291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000003391101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health