| Doctor Name: | KIMBERLY ALLEN |
| NPI Number: | 1013176429 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | |
| Business Practice Address: | 5726 Marlin Rd Franklin Building, Suite 200 Chattanooga, TN - 374114008 |
| Business Phone Number: | 4239548890 |
| Business Fax Number: | 4239548880 |
| Mailing Address: | 4904 Florida Ave, CHATTANOOGA |
| State: | TN |
| Postal Code: | 374091821 |
| Phone Number: | 4237719537 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 04/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |