Provider Demographics
NPI:1952751232
Name:TREADWELL, ALLISON BOOTH (LPC)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:BOOTH
Last Name:TREADWELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:BOOTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:245 FM 1488 RD
Mailing Address - Street 2:1131
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3983
Mailing Address - Country:US
Mailing Address - Phone:214-562-1083
Mailing Address - Fax:
Practice Address - Street 1:245 FM 1488 RD
Practice Address - Street 2:1131
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-3983
Practice Address - Country:US
Practice Address - Phone:214-562-1083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-16
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72350101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional