Healthcare Provider Details

I. General information

NPI: 1891038899
Provider Name (Legal Business Name): ALLISON LANE SPOTTS-DE LAZZER LMFT, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2013
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6923 SPYGLASS CT
CHATTANOOGA TN
37416-1054
US

IV. Provider business mailing address

6923 SPYGLASS CT
CHATTANOOGA TN
37416-1054
US

V. Phone/Fax

Practice location:
  • Phone: 818-388-2355
  • Fax:
Mailing address:
  • Phone: 818-388-2355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number49842
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: