| Doctor Name: | MR. STANLEY MICHAEL EUGENE ALLEN |
| NPI Number: | 1023179116 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | CSW000707 |
| Business Practice Address: | 1770 Indian Trail Rd Suite 200 Norcross, GA - 300932645 |
| Business Phone Number: | 7709239200 |
| Business Fax Number: | |
| Mailing Address: | 1499 Kay Ln Ne, ATLANTA |
| State: | GA |
| Postal Code: | 303063111 |
| Phone Number: | 4042195821 |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 01/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW000707 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |