Healthcare Provider Details

I. General information

NPI: 1497617922
Provider Name (Legal Business Name): ALLISON LUCILLE BALLARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31196 BURGESS RD
DENHAM SPRINGS LA
70726-1669
US

IV. Provider business mailing address

31196 BURGESS RD
DENHAM SPRINGS LA
70726-1669
US

V. Phone/Fax

Practice location:
  • Phone: 281-889-2895
  • Fax:
Mailing address:
  • Phone: 281-889-2895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: