Provider Demographics
NPI:1669909990
Name:ALLEN, DARRILYNN LAKEITIA
Entity type:Individual
Prefix:
First Name:DARRILYNN
Middle Name:LAKEITIA
Last Name:ALLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2945 AMERICUS ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-3327
Mailing Address - Country:US
Mailing Address - Phone:504-595-9490
Mailing Address - Fax:
Practice Address - Street 1:2945 AMERICUS ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-3327
Practice Address - Country:US
Practice Address - Phone:504-595-9490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health