Healthcare Provider Details

I. General information

NPI: 1205769221
Provider Name (Legal Business Name): ALISON CHI PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3455 FLORIDA ST STE 400
BATON ROUGE LA
70806-3764
US

IV. Provider business mailing address

11361 N 99TH AVE STE 402
PEORIA AZ
85345-5459
US

V. Phone/Fax

Practice location:
  • Phone: 225-256-6604
  • Fax: 225-256-2553
Mailing address:
  • Phone: 602-650-1212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number205340
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: