Sydney Dowden Allen, LPC

Individual provider Active NPI Professional Counselor · Shreveport, LA

NPI 1669147153 · NPPES record last updated Aug 16, 2021

Key facts

NPI
1669147153
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
1927 (LA)
Practice address
707 Southfield Rd
Shreveport, LA 71106-2219
Phone
(318) 869-1632
Fax
(318) 869-1633
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1927LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Interactional Services, Inc Current
since Aug 28, 2021
Accepting new patients

Locations

707 Southfield Rd
Shreveport, LA 71106
Phone (318) 869-1632

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1927 LA Yes

Addresses

Primary practice location

707 Southfield Rd
Shreveport, LA 71106-2219

Mailing address

707 Southfield Rd
Shreveport, LA 71106-2219
Phone (318) 869-1632

Other providers in Shreveport, LA

All providers in Shreveport, LA · Professional Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.