Provider Demographics
NPI:1598324238
Name:ALLEN, FRANCILLA (LPC)
Entity Type:Individual
Prefix:
First Name:FRANCILLA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20856 FRAZIER CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:CITRONELLE
Mailing Address - State:AL
Mailing Address - Zip Code:36522-5259
Mailing Address - Country:US
Mailing Address - Phone:404-374-3525
Mailing Address - Fax:
Practice Address - Street 1:20856 FRAZIER CEMETERY RD
Practice Address - Street 2:
Practice Address - City:CITRONELLE
Practice Address - State:AL
Practice Address - Zip Code:36522-5259
Practice Address - Country:US
Practice Address - Phone:404-374-3525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010381101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional