Healthcare Provider Details

I. General information

NPI: 1578257010
Provider Name (Legal Business Name): ALLISON ELIZABETH COTTEN LCSW, LCAS, CSI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 SHEPARDS WAY LN
MANSON NC
27553-9673
US

IV. Provider business mailing address

633 SHEPARDS WAY LN
MANSON NC
27553-9673
US

V. Phone/Fax

Practice location:
  • Phone: 252-532-2064
  • Fax:
Mailing address:
  • Phone: 252-532-2064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-28289
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number22736
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC018597
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: