=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225119506
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALLEN'S CONSULTATION AND TRAINING, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/17/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2950 RAY WEILAND DR
-----------------------------------------------------
City | BAKER
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70714-3250
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-778-0992
-----------------------------------------------------
Fax | 225-778-0994
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2950 RAY WEILAND DR
-----------------------------------------------------
City | BAKER
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70714-3250
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-778-0992
-----------------------------------------------------
Fax | 225-778-0994
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. ALYSIUS CHRISTOPHER ALLEN
-----------------------------------------------------
Credential | LPC, LMFT
-----------------------------------------------------
Telephone | 225-938-7600
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 1159204
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------