MEDICARE: MAURA ALLEN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC-23346

General Provider Information

NPI Number	:	1336998798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURA ALLEN LPC

Provider Business Mailing Address
First Line	:	15818 N 25TH ST UNIT 116
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-3597
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 W JACKSON ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007-3110
Country	:	US
Telephone Number	:	602-407-6299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2024
Last Update Date	:	07/16/2025

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Directions to “ MAURA ALLEN LPC” Practice Location

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