Carly Jill Allen, PPC
Individual provider Active NPI Mental Health Counselor · Georgetown, TX
NPI 1902605017 · NPPES record last updated Mar 11, 2025
Key facts
- NPI
- 1902605017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- PPC-1457 (WY)
- Practice address
- 1109 Daylily Loop
Georgetown, TX 78626-7153 - Phone
- (307) 274-6881
- NPI assigned
- Mar 11, 2025
- 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 |
|---|---|---|---|
| PPC-1457 | WY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PPC-1457 | WY | Yes |
Addresses
Primary practice location
1109 Daylily Loop
Georgetown, TX 78626-7153
Mailing address
1109 Daylily Loop
Georgetown, TX 78626-7153
Phone (307) 274-6881
Other practice location 1
520 E 18th St
Cheyenne, WY 82001-4618
Phone (307) 222-4022
Other names
- Carly Jill York Banks Rivera
Other providers in Georgetown, TX
- Imran Ali Alidina
- All Care Therapies of Georgetown, PLLC
- All Health of Texas, PLLC
- Maci Leeann Allee
- Allen Chiropractic Neurology Inc
- Julia Allen
- Allergy & Asthma Center of Georgetown, P.a.
- Samantha Allgood
- Lindsay V Almendarez
- Alta Loma, Inc.
All providers in Georgetown, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2025. 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.