Allen, Viviette L.
Allen, Viviette L. is an individual health care provider with primary practice located at 1540 Purdue Dr Suite 200, Fayetteville NC 28303-5510. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Allen, Viviette L. can be contacted via phone (910) 867-8889.Contact Information
Primary practice address
1540 Purdue Dr Suite 200
Fayetteville NC 28303-5510
Phone: (910) 867-8889
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1708 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | COO1142 | North Carolina |
Profile Details
| NPI number | 1275697419 |
|---|---|
| LBN Legal business name | Allen, Viviette L. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Feb 23rd, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275697419 | NPPES |
| North Carolina | Other | 10588 | BCBS |
| North Carolina | MEDICAID | 6002468 | BCBS |
| North Carolina | Other | MEDCOST | BCBS |
| North Carolina | Other | 344141 | BCBS |
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