Provider Demographics
NPI:1881018083
Name:PHINNEY, ALLISON HENLEY
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:HENLEY
Last Name:PHINNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:RADELL
Other - Last Name:HENLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2688 FRUITVILLE RD
Mailing Address - Street 2:JEWISH FAMILY AND CHILDRENS SVC
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-5223
Mailing Address - Country:US
Mailing Address - Phone:941-366-2224
Mailing Address - Fax:941-366-2982
Practice Address - Street 1:2688 FRUITVILLE RD
Practice Address - Street 2:JEWISH FAMILY AND CHILDRENS SVC
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5223
Practice Address - Country:US
Practice Address - Phone:941-366-2224
Practice Address - Fax:941-366-2982
Is Sole Proprietor?:No
Enumeration Date:2014-02-07
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH10267101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health