| Doctor Name: | MRS. MICHELLE JEANNINE ALLEN |
| NPI Number: | 1093966087 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAPC, NCC |
| License Number: | APC002101 |
| Business Practice Address: | 911 N Tennessee St Suite 204 Cartersville, GA - 301208514 |
| Business Phone Number: | 7703860776 |
| Business Fax Number: | 6782799950 |
| Mailing Address: | 911 N Tennessee St, Suite 204 CARTERSVILLE |
| State: | GA |
| Postal Code: | 301208514 |
| Phone Number: | 7703860776 |
| Fax Number: | 6782799950 |
| NPI Enumeration Date: | 10/08/2008 |
| NPI Last Update Date: | 09/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | APC002101 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |