Provider Demographics
NPI:1659427599
Name:SCHENK, ALLEN E (LPC)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:E
Last Name:SCHENK
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 ADA WORTLEY AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-5071
Mailing Address - Country:US
Mailing Address - Phone:314-869-2408
Mailing Address - Fax:
Practice Address - Street 1:1011 THEOBALD ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63147-1922
Practice Address - Country:US
Practice Address - Phone:314-388-2777
Practice Address - Fax:314-388-4903
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral