Healthcare Provider Details

I. General information

NPI: 1457803132
Provider Name (Legal Business Name): ALLISON MARIE PARRANTO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON JOHNSON

II. Dates (important events)

Enumeration Date: 10/28/2016
Last Update Date: 12/28/2023
Certification Date: 12/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9245 QUANTRELLE AVE
OTSEGO MN
55330
US

IV. Provider business mailing address

1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON MN
55112-1789
US

V. Phone/Fax

Practice location:
  • Phone: 763-746-9492
  • Fax: 763-746-3685
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number3447
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: