Theresa C Allen, M.A., LPC

Individual provider Active NPI Professional Counselor · Anderson, SC

NPI 1124432067 · NPPES record last updated May 20, 2016

Key facts

NPI
1124432067
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
5706 (SC)
Practice address
2315 N Main St
Ste 211-F
Anderson, SC 29621-3880
Phone
(864) 369-5172
NPI assigned
Jun 18, 2014
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
Master of Arts

State licenses

LicenseStateTypeSpecialty
5706SCMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5706 SC Yes

Addresses

Primary practice location

2315 N Main St
Ste 211-F
Anderson, SC 29621-3880

Mailing address

208 Brock Ave
Honea Path, SC 29654-1423
Phone (864) 369-5172

Other providers in Anderson, SC

All providers in Anderson, SC · Professional Counselor in South Carolina

Sources for this page

Verify at the official NPI Registry.