=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861306953
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KIERRA NICOLE GUYTON ALLEN ALC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/28/2026
-----------------------------------------------------
Last Update Date | 09/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2046 CLUBVIEW ST
-----------------------------------------------------
City | MONTGOMERY
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36106-1625
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 334-322-4437
-----------------------------------------------------
Fax | 334-460-9814
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1403 CROSSINGS DR
-----------------------------------------------------
City | MILLBROOK
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36054-2198
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-394-7313
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | ALC06194
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------