Healthcare Provider Details

I. General information

NPI: 1043581069
Provider Name (Legal Business Name): MARJORIE LUNNEN ALLISON LCSW, LCAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2012
Last Update Date: 02/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 OAK PLZ SUITE 206
ASHEVILLE NC
28801-3008
US

IV. Provider business mailing address

119 TUNNEL RD SUITE D
ASHEVILLE NC
28805-1869
US

V. Phone/Fax

Practice location:
  • Phone: 828-252-2501
  • Fax: 828-252-2701
Mailing address:
  • Phone: 828-350-1000
  • Fax: 828-350-1300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC008761
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2663
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: