Healthcare Provider Details

I. General information

NPI: 1295351211
Provider Name (Legal Business Name): CAROL ANN HARVEY ALLEN MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROL ANN MAKENZIE HARVEY

II. Dates (important events)

Enumeration Date: 06/25/2020
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date: 09/29/2022
Reactivation Date: 10/05/2022

III. Provider practice location address

655 MEDICAL PARK DR
AIKEN SC
29801-6415
US

IV. Provider business mailing address

7877 WILLOW CHASE BLVD
HOUSTON TX
77070-5934
US

V. Phone/Fax

Practice location:
  • Phone: 832-869-4818
  • Fax:
Mailing address:
  • Phone: 832-869-4818
  • Fax: 832-241-2902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number238030
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26650
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: