Provider Demographics
NPI:1255790820
Name:ALLEN, VERNA
Entity type:Individual
Prefix:
First Name:VERNA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VERNA
Other - Middle Name:
Other - Last Name:LIGHTFOOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:619 DAVID DR
Mailing Address - Street 2:
Mailing Address - City:PATTERSON
Mailing Address - State:LA
Mailing Address - Zip Code:70392-4209
Mailing Address - Country:US
Mailing Address - Phone:985-518-7223
Mailing Address - Fax:
Practice Address - Street 1:619 DAVID DR
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:LA
Practice Address - Zip Code:70392-4209
Practice Address - Country:US
Practice Address - Phone:985-518-7223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-11
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health