| Doctor Name: | MRS. GLORIA ALLEN |
| NPI Number: | 1124313408 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PASTOR |
| License Number: | |
| Business Practice Address: | 1448 Macarthur Ave Harvey, LA - 700582454 |
| Business Phone Number: | 5042394171 |
| Business Fax Number: | 5043281611 |
| Mailing Address: | 1448 Macarthur Ave, HARVEY |
| State: | LA |
| Postal Code: | 700582454 |
| Phone Number: | 5042394171 |
| Fax Number: | 5043281611 |
| NPI Enumeration Date: | 06/14/2011 |
| NPI Last Update Date: | 06/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |