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NPI Code Detail

MEDICARE: ALLISON BLOSSEY

MEDICARE:   ALLISON  BLOSSEY
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
1101YP2500XProfessional Counselor97831TX

General Provider Information

NPI Number : 1396559183
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON BLOSSEY
Provider Business Mailing Address
First Line : 646 PARKSIDE DR
Second Line :
City : LAVON
State : TX
Zip : 75166-3004
Country : US
Telephone Number : 828-793-8004
Fax Number :
Provider Business Practice Location Address
First Line : 303 S STATE HWY 78
Second Line : APT 103
City : WYLIE
State : TX
Zip : 75098
Country : US
Telephone Number : 469-342-3468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2025
Last Update Date : 03/12/2026

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Directions to “ ALLISON BLOSSEY ” Practice Location

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