Provider Demographics
NPI:1669862579
Name:ALLEN, MARSHIA ANN (LPC-S)
Entity Type:Individual
Prefix:
First Name:MARSHIA
Middle Name:ANN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 CANOE LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-2026
Mailing Address - Country:US
Mailing Address - Phone:940-594-0253
Mailing Address - Fax:
Practice Address - Street 1:1209 CANOE LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-2026
Practice Address - Country:US
Practice Address - Phone:940-594-0253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62479101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional