Provider Demographics
NPI:1568723112
Name:ALLEN, CHINA DONTA (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:CHINA
Middle Name:DONTA
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:DR
Other - First Name:CHINA
Other - Middle Name:DONTA
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, LPC
Mailing Address - Street 1:9219 MADISON DR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30346-2464
Mailing Address - Country:US
Mailing Address - Phone:678-400-4777
Mailing Address - Fax:
Practice Address - Street 1:9219 MADISON DR
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30346-2464
Practice Address - Country:US
Practice Address - Phone:678-400-4777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003517101YM0800X
103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health