MRS. DOROTHY TEBBUTT ALLEN MA LPA NPI 1790896959

NPI Information

NPI: 1790896959
Provider Name: MRS. DOROTHY TEBBUTT ALLEN, MA LPA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1725 SOUTH MAIN STREET
SUITE 202
WAKE FOREST, NC
ZIP 27587
Phone: (919) 556-6501
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MRS. Dorothy Tebbutt Allen, MA LPA is a mental health counselor in Wake Forest, NC. MRS. Dorothy Tebbutt Allen, MA LPA NPI is 1790896959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1725 SOUTH MAIN STREET
SUITE 202
WAKE FOREST, NC
ZIP 27587
Phone: (919) 556-6501
Fax: (919) 556-4933

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	2045	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8375	OTHER	NORTH CAROLINA	FIVE COUNTY MENTAL HEALTH
2	6107138	MEDICAID	NORTH CAROLINA
3	046MH	OTHER	NORTH CAROLINA	NC HEALTH CHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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