Amy Sue Allen, LPC
Individual provider Active NPI Professional Counselor · Raleigh, NC
NPI 1548312473 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1548312473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 4256 (NC)
- Practice address
- 6512 Six Forks Road
Suite #403B
Raleigh, NC 27615 - Phone
- (919) 518-0775
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4256 | NC | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4256 | NC | Yes |
Addresses
Primary practice location
6512 Six Forks Road
Suite #403B
Raleigh, NC 27615
Mailing address
6512 Six Forks Road
Suite #403B
Raleigh, NC 27615
Phone (919) 518-0775
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346C | Other | NC | BLUE CROSS BLUE SHIELD |
| 6102426 | Medicaid | NC |
Other providers in Raleigh, NC
- Amanda Allen
- Amanda Kathleen Allen
- Amanda Marshburn Allen
- Amber L Allen
- America Alisha Allen
- Andrea Joyce Allen
- Aretha Allen
- Brianna Allen
- Carla Renee Allen
- Crystal Dawn Allen
All providers in Raleigh, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.