Healthcare Provider Details

I. General information

NPI: 1831713890
Provider Name (Legal Business Name): ALLYSON NOEL ENGELHART LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2020
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 MAIN ST
HURON OH
44839-1610
US

IV. Provider business mailing address

348 MAIN ST
HURON OH
44839-1610
US

V. Phone/Fax

Practice location:
  • Phone: 419-366-3533
  • Fax:
Mailing address:
  • Phone: 419-366-3533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.2002470-TRNE
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE.2303563
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: