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Provider Information for 1083153597


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

Mrs. JULIE OGLESBY ALLEN MA, LAPC, NCC


Other Names:  
Professional Name: 
Mrs. JULIE OGLESBY ALLEN MA, LAPC, NCC

Sex: Female

NPI: 1083153597
Last Updated: 2018-09-04
Certification Date:

Details

NameValue
NPI1083153597
Enumeration Date2017-02-16
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1 S BROAD ST SW STE 5
ROME, GA 30161-4424
United States

Phone: 706-314-8696 | Fax:
 
Primary Practice Address 1 S BROAD ST SW STE 5
ROME, GA 30161
United States

Phone: 706-314-8696 | Fax:
 
Secondary Practice Address(es)

701 E 2ND AVE SW
SUITE A
ROME, GA 30161-6148
United States

Phone: 706-314-8696 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor GAAPC005673