Provider Demographics
NPI:1700189727
Name:ALLEN, ARLEEN DOWDY (LPC)
Entity Type:Individual
Prefix:
First Name:ARLEEN
Middle Name:DOWDY
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:PO BOX 522
Mailing Address - Street 2:522 OLD FERRY ROAD
Mailing Address - City:GRIMSTEAD
Mailing Address - State:VA
Mailing Address - Zip Code:23064-0522
Mailing Address - Country:US
Mailing Address - Phone:804-628-0957
Mailing Address - Fax:804-828-5074
Practice Address - Street 1:1300 E MARSHALL STREET, 1ST FLOOR
Practice Address - Street 2:VCU MEDICAL CENTER - REHABILITATION AND RESEARCH CENTER
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-0661
Practice Address - Country:US
Practice Address - Phone:804-628-0957
Practice Address - Fax:804-828-5074
Is Sole Proprietor?:No
Enumeration Date:2010-12-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0701003049101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional