Ty A Allison, LPC, NCC
Counselor in Dallas, TX. Individual provider (NPI-1).
NPI number1003479239
StatusActive
Last updated in NPPESApr 14, 2019
Details
- NPI
- 1003479239
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ty A Allison
- Credential
- LPC, NCC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2019
- Last updated
- Apr 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 70250 | TX | Yes |
| 101YM0800X | Counselor, Mental Health | 70250 | TX | |
| 101YP2500X | Counselor, Professional | 70250 | TX |
Practice location
3500 Oak Lawn Ave Ste 230Dallas, TX 75219-4369
Phone 817-689-5451
Mailing address
8594 Hanford DrDallas, TX 75243-6412
Phone 817-689-5451
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