Provider Demographics
NPI:1700363702
Name:PILE, ALLISON HARALSON (MSW, CSW)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:HARALSON
Last Name:PILE
Suffix:
Gender:F
Credentials:MSW, CSW
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MARIE
Other - Last Name:HARALSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, CSW
Mailing Address - Street 1:211 RED MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-7530
Mailing Address - Country:US
Mailing Address - Phone:270-202-8668
Mailing Address - Fax:
Practice Address - Street 1:5872 SCOTTSVILLE RD
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-7853
Practice Address - Country:US
Practice Address - Phone:270-202-8668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2565511041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY253572OtherKENTUCKY BOARD OF SOCIAL WORK