Becky Allen, BA, CASAC-T
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bronx, NY
NPI 1003129776 · NPPES record last updated Jul 22, 2010
Key facts
- NPI
- 1003129776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 22573 (NY)
- Practice address
- 804 East 138TH Street
Room 32 Albert Einsein Wellness Center
Bronx, NY 10454 - Phone
- (718) 665-7500
- Fax
- (718) 665-4768
- NPI assigned
- Jul 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22573 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22573 | NY | Yes |
Addresses
Primary practice location
804 East 138TH Street
Room 32 Albert Einsein Wellness Center
Bronx, NY 10454
Mailing address
804 East 138TH Street
Room 32 Albert Einsein Wellness Center
Bronx, NY 10454
Phone (718) 665-7500
Other providers in Bronx, NY
- Allen Shuman DPM PC
- Yackeisha Allen-Grant
- Isaac Allen-Gyimah
- Lashanna Allen-Williams
- Ariel Allen
- Camille Allen
- Camille Allen
- Claudia Allen
- Darryl S Allen
- Debora Louise Allen
All providers in Bronx, NY · Addiction (Substance Use Disorder) Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.