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General NPI Number Information
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NPI Number | 1841968021
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Entity Type | Organization
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Legal Business Name | ALLEN THERAPY LLC
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 404 S 8TH ST
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City | OPELIKA
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State | AL
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Zip | 36801-4946
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Country | US
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Telephone | 850-360-1583
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 OPELIKA RD STE 6 #137
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City | AUBURN
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State | AL
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Zip | 36830-3356
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Country | US
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Telephone | 850-630-1583
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | CASSIE ALLEN
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Credential | LCSW
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Telephone | 850-630-1583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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