Samona Allen
Individual provider Active NPI Counselor · Colfax, LA
NPI 1386016129 · NPPES record last updated Oct 20, 2015
Key facts
- NPI
- 1386016129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1171 Highway 492
Colfax, LA 71417-5409 - Phone
- (318) 730-4933
- NPI assigned
- Oct 20, 2015
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1171 Highway 492
Colfax, LA 71417-5409
Mailing address
1171 Highway 492
Colfax, LA 71417-5409
Phone (318) 730-4933
Other providers in Colfax, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2015. 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.