Provider Demographics
NPI:1598898504
Name:NACE, ALLEN (LMHC)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:
Last Name:NACE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 DELTA PL
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-5322
Mailing Address - Country:US
Mailing Address - Phone:845-331-2692
Mailing Address - Fax:
Practice Address - Street 1:20 DELTA PL
Practice Address - Street 2:2 BARBAROSA LANE
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-5322
Practice Address - Country:US
Practice Address - Phone:845-331-2692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001341-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYLMHC 001341-1OtherNYS