Provider Demographics
NPI:1598054066
Name:ALLEN, JOHN TALLEY III (LCSW, CEAP, SPHR)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:TALLEY
Last Name:ALLEN
Suffix:III
Gender:M
Credentials:LCSW, CEAP, SPHR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3354 PERIMETER HILL DR
Mailing Address - Street 2:SUITE 320
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211
Mailing Address - Country:US
Mailing Address - Phone:615-331-3221
Mailing Address - Fax:615-331-0378
Practice Address - Street 1:3354 PERIMETER HILL DR
Practice Address - Street 2:SUITE 320
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211
Practice Address - Country:US
Practice Address - Phone:615-331-3221
Practice Address - Fax:615-331-0378
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW0000003884106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist