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NPI Code Detail

MEDICARE: ANGELA ADELE ALLEN NCC, LMHC, BCBA

MEDICARE: ANGELA ADELE ALLEN NCC, LMHC, BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2103K00000XBehavior Analyst1-16-23617IN
3101YM0800XMental Health Counselor39002189AIN

General Provider Information

NPI Number : 1497920714
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA ADELE ALLEN NCC, LMHC, BCBA
Provider Business Mailing Address
First Line : 1950 DOCTORS PARK DR
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-2375
Country : US
Telephone Number : 812-373-6103
Fax Number : 888-375-4149
Provider Business Practice Location Address
First Line : 1950 DOCTORS PARK DR
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-2375
Country : US
Telephone Number : 812-373-6103
Fax Number : 888-375-4149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2008
Last Update Date : 01/16/2026

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