Healthcare Provider Details

I. General information

NPI: 1194922237
Provider Name (Legal Business Name): ALLISON PARRIS OWEN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON RENEE PARRIS M.S., LAMFT

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3790 OLD US HIGHWAY 41 N STE A
VALDOSTA GA
31602-6865
US

IV. Provider business mailing address

3790 OLD US HIGHWAY 41 N STE A
VALDOSTA GA
31602-6865
US

V. Phone/Fax

Practice location:
  • Phone: 229-262-1000
  • Fax: 229-262-1085
Mailing address:
  • Phone: 229-262-1000
  • Fax: 229-262-1085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: