Individual provider · NPI-1

Heather Allen, LMHC

Counselor, Mental Health · Crestview, FL

NPI number1639811920
StatusActive
Last updated in NPPESSep 2, 2024

Details

NPI
1639811920
Entity type
Individual (NPI-1)
Name
Heather Allen
Credential
LMHC
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 8, 2022
Certification date
Sep 2, 2024
Last updated
Sep 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health19223FLYes

Practice location

824 N Ferdon Blvd
Crestview, FL 32536-2157

Phone 850-603-0941

Mailing address

4680 Lovegrass Ln
Crestview, FL 32539-8357

Phone 850-603-0941

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