Provider Demographics
NPI:1932076916
Name:DILLING, ALLISA SHANLYN (LCMHC-A)
Entity type:Individual
Prefix:
First Name:ALLISA
Middle Name:SHANLYN
Last Name:DILLING
Suffix:
Gender:F
Credentials:LCMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3714 YORKTOWN PL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7153
Mailing Address - Country:US
Mailing Address - Phone:910-373-8081
Mailing Address - Fax:
Practice Address - Street 1:5510 SIX FORKS RD STE 125
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3884
Practice Address - Country:US
Practice Address - Phone:910-373-8081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA22182101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health