Provider Demographics
NPI:1710591086
Name:ALLEN, CARRIE (MS, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:LYNN-ALLEN
Other - Last Name:PEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:609 HIGHWAY 50
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37033-3956
Mailing Address - Country:US
Mailing Address - Phone:256-797-3905
Mailing Address - Fax:
Practice Address - Street 1:609 HIGHWAY 50
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37033-3956
Practice Address - Country:US
Practice Address - Phone:256-797-3905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-03
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4240101YM0800X, 101YP2500X
MO2021045372101YP2500X
TX87000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health