Provider Demographics
NPI:1922375237
Name:ALLEN, DAVID LOUIS (LPC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LOUIS
Last Name:ALLEN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 JAMESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-3220
Mailing Address - Country:US
Mailing Address - Phone:757-880-4320
Mailing Address - Fax:
Practice Address - Street 1:335 RIO RD W STE 203
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1311
Practice Address - Country:US
Practice Address - Phone:434-282-2294
Practice Address - Fax:434-282-2644
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003437101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional