Basic Information
Provider Information
NPI: 1477929156
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOHF
FirstName: ALISON
MiddleName: EBERLY
NamePrefix: MS.
NameSuffix:  
Credential: MSW, LCSWA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10030 PINEVILLE RD
Address2: #302
City: RALEIGH
State: NC
PostalCode: 276176316
CountryCode: US
TelephoneNumber: 9196221799
FaxNumber:  
Practice Location
Address1: 1011 SCHAUB DR
Address2: SUITE 201
City: RALEIGH
State: NC
PostalCode: 276061862
CountryCode: US
TelephoneNumber: 9198342000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/17/2015
LastUpdateDate: 08/17/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XP008994NCY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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