Provider Demographics
NPI:1265546873
Name:RANKIN, JHON ALLISON (LPC)
Entity type:Individual
Prefix:MRS
First Name:JHON
Middle Name:ALLISON
Last Name:RANKIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 CIVIC CIR STE 906
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-1847
Mailing Address - Country:US
Mailing Address - Phone:806-318-8297
Mailing Address - Fax:806-500-2791
Practice Address - Street 1:2201 CIVIC CIR STE 906
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-1847
Practice Address - Country:US
Practice Address - Phone:806-318-8297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17326101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148080802Medicaid