Basic Information
| Provider Information | |||||||||
| NPI: | 1366987687 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALLEN'S CONSULTANT & TRAINING | ||||||||
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| Mailing Information | |||||||||
| Address1: | 158 MCGEHEE DR | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708155012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2252725271 | ||||||||
| FaxNumber: | 2252720941 | ||||||||
| Practice Location | |||||||||
| Address1: | 158 MCGEHEE DR | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708155012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2252725271 | ||||||||
| FaxNumber: | 2252720941 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/21/2016 | ||||||||
| LastUpdateDate: | 12/21/2016 | ||||||||
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| AuthorizedOfficialLastName: | ALLEN | ||||||||
| AuthorizedOfficialFirstName: | ALYSIUS | ||||||||
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| AuthorizedOfficialTitleorPosition: | PROGRAM DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 2257780992 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | LPC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251B00000X | 830351256 | LA | Y | Agencies | Case Management |
No ID Information.