Charles Lawrence Allen, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW3296 Issued in FL

Legal business name

CHARLES LAWRENCE ALLEN, INC.

Practice address

1121 Nikki View Dr
Brandon, FL 33511-4879

Phone

(813) 230-9248

Fax

(812) 657-1049

NPI assigned

Jan 17, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles Allen, LCSW

Title

President

Phone

(813) 230-9248

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Darnell Miller, MA LMHC

  • Counselor
  • Brandon, FL
  • NPI 1114099116
  NPD (past)
• Carrie L Wilson, MA, LMHC

  • Mental Health Counselor
  • Brandon, FL
  • NPI 1922179118
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1467723890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6908",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335086015",
            "telephone_number": "813-230-9248",
            "fax_number": "813-657-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 NIKKI VIEW DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114879",
            "telephone_number": "813-230-9248",
            "fax_number": "812-657-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES LAWRENCE ALLEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-230-9248",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW3296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Chandler, M.A., C.C.C.
• Ethan Chang
• Michael Chanthalangsy, DDS
• Christina Chanthanivong, DO
• Charles Devine, M.D., P.a.
• Jonathan Charles, MD
• Joseph Charles
• Julia Kinsley Chase
• Chasing Behavior Modification Corp
• Jennifer Chavarro Castillo, LMHC

• Community/Behavioral Health Agency in Brandon, FL
• Providers in Brandon, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.