Provider Demographics
NPI:1043000888
Name:BURRINGTON, ALLY
Entity type:Individual
Prefix:
First Name:ALLY
Middle Name:
Last Name:BURRINGTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 N MCKINLEY AVE APT 210
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-3050
Mailing Address - Country:US
Mailing Address - Phone:440-732-6025
Mailing Address - Fax:
Practice Address - Street 1:38 N MCKINLEY AVE APT 210
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-3050
Practice Address - Country:US
Practice Address - Phone:440-732-6025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health