Healthcare Provider Details

I. General information

NPI: 1568036960
Provider Name (Legal Business Name): KALLE WHITNEY ALLISON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4403 CANAL ST
NEW ORLEANS LA
70119-5946
US

IV. Provider business mailing address

2051 8TH ST
HARVEY LA
70058-4001
US

V. Phone/Fax

Practice location:
  • Phone: 504-896-2345
  • Fax: 504-252-9450
Mailing address:
  • Phone: 504-368-1944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number8613
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8613
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8613
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: