Doctor Name: | VENUS ALLEN |
NPI Number: | 1164889218 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, QMHP, CIA |
License Number: | 0000 |
Business Practice Address: | 9700 Research Dr Suite 139 Charlotte, NC - 282628552 |
Business Phone Number: | 7042312859 |
Business Fax Number: | 8004658147 |
Mailing Address: | 9700 Research Dr, Suite 139 CHARLOTTE |
State: | NC |
Postal Code: | 282628552 |
Phone Number: | 7042312859 |
Fax Number: | 8004658147 |
NPI Enumeration Date: | 01/20/2016 |
NPI Last Update Date: | 01/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |