Provider Demographics
NPI:1831566835
Name:ALLEN, ALYSIUS CHRISTOPHER (NCC, LPC-S, LMFT)
Entity type:Individual
Prefix:MR
First Name:ALYSIUS
Middle Name:CHRISTOPHER
Last Name:ALLEN
Suffix:
Gender:M
Credentials:NCC, LPC-S, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1632 THOMAS H DELPIT DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802-6628
Mailing Address - Country:US
Mailing Address - Phone:225-778-0992
Mailing Address - Fax:
Practice Address - Street 1:1632 THOMAS H DELPIT DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-6628
Practice Address - Country:US
Practice Address - Phone:225-778-0992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2257101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional