Healthcare Provider Details

I. General information

NPI: 1083571301
Provider Name (Legal Business Name): DANA ALLEN LCPC, LPC, CRC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7627 LAKE ST STE 206
RIVER FOREST IL
60305-1878
US

IV. Provider business mailing address

901 LAKE ST UNIT 1
OAK PARK IL
60303-1001
US

V. Phone/Fax

Practice location:
  • Phone: 464-244-5202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180015020
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: