Healthcare Provider Details

I. General information

NPI: 1184389447
Provider Name (Legal Business Name): ALLISON & ASSOCIATES COUNSELING AND EDUCATION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2021
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

748 BAYOU PINES EAST DR STE B
LAKE CHARLES LA
70601-7596
US

IV. Provider business mailing address

PO BOX 834
LAKE CHARLES LA
70602-0834
US

V. Phone/Fax

Practice location:
  • Phone: 337-656-0555
  • Fax: 337-656-0543
Mailing address:
  • Phone: 337-656-0555
  • Fax: 337-656-0543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. KAYLA ALLISON
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: PHD
Phone: 337-912-3757