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NPI Code Detail

MEDICARE: WESLEY ALLEN LPC-MHSP

MEDICARE: WESLEY ALLEN LPC-MHSP
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
1101YM0800XMental Health Counselor5110TN

General Provider Information

NPI Number : 1912512377
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESLEY ALLEN LPC-MHSP
Provider Business Mailing Address
First Line : 101 DALTON PLACE WAY STE 105
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-4357
Country : US
Telephone Number : 865-236-1261
Fax Number : 865-674-5163
Provider Business Practice Location Address
First Line : 101 DALTON PLACE WAY STE 105
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-4357
Country : US
Telephone Number : 865-236-1261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2020
Last Update Date : 01/08/2026

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Directions to “ WESLEY ALLEN LPC-MHSP” Practice Location

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