Healthcare Provider Details

I. General information

NPI: 1265322945
Provider Name (Legal Business Name): SYDNIE RACHEL ALLEN PH.D, LPC, MHSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SYDNIE RACHEL ROBERTS

II. Dates (important events)

Enumeration Date: 07/05/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

848 ADAMS AVE
MEMPHIS TN
38103-2816
US

IV. Provider business mailing address

51 N DUNLAP ST
MEMPHIS TN
38105-4625
US

V. Phone/Fax

Practice location:
  • Phone: 901-287-5437
  • Fax:
Mailing address:
  • Phone: 901-287-7337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6774
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: