Healthcare Provider Details

I. General information

NPI: 1851980197
Provider Name (Legal Business Name): SPRING PSYCHOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2021
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 RALEIGH ST
HOLLY SPRINGS NC
27540-9043
US

IV. Provider business mailing address

128 RALEIGH ST
HOLLY SPRINGS NC
27540-9043
US

V. Phone/Fax

Practice location:
  • Phone: 404-480-0332
  • Fax: 919-551-7569
Mailing address:
  • Phone: 404-480-0332
  • Fax: 919-551-7569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. KATIE TART ALLEN
Title or Position: LICENSED PSYCHOLOGIST & OWNER
Credential: PSYD
Phone: 404-480-0332