Provider Demographics
NPI:1942526041
Name:RIGGS, ALLEN TRENT (LPC)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:TRENT
Last Name:RIGGS
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 1:540 W 600 S
Mailing Address - Street 2:
Mailing Address - City:MANTI
Mailing Address - State:UT
Mailing Address - Zip Code:84642-5505
Mailing Address - Country:US
Mailing Address - Phone:888-559-0055
Mailing Address - Fax:888-559-0055
Practice Address - Street 1:540 W 600 S
Practice Address - Street 2:
Practice Address - City:MANTI
Practice Address - State:UT
Practice Address - Zip Code:84642-5505
Practice Address - Country:US
Practice Address - Phone:888-559-0055
Practice Address - Fax:888-559-0055
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT373871-6004101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT64892OtherNATIONAL COUNSELOR CERTIFICATION NUMBER NBCC
UT373871-6004OtherSTATE LICENSE NUMBER