Allen, Carrie M

Allen, Carrie M is an sole proprietor health care provider with primary practice located at 1285 N Main St Ste 101-5 , Mansfield TX 76063-1511. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Allen, Carrie M can be contacted via phone (682) 651-7621.

Contact Information

Primary practice address
1285 N Main St Ste 101-5 Mansfield TX 76063-1511
Phone: (682) 651-7621
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 71834 Texas
Behavioral Health & Social Service Providers / Counseling 103TC1900X 71834 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 71834 Texas

Profile Details

NPI number 1497110415
LBN Legal business name Allen, Carrie M
Credentials PHD, LPC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2015
Last updated Oct 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497110415 NPPES
Texas MEDICAID 355748001

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