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Provider Information for 1861082828


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Dr. SHERILYN YVETTE ALLEN D.Ed


Sex: Female

NPI: 1861082828
Last Updated: 2021-01-24
Certification Date: 2021-01-24

Details

NameValue
NPI1861082828
Enumeration Date2021-01-24
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 10526 ENCINO PASS TRL
HOUSTON, TX 77064-3906
United States

Phone: 832-515-5935 | Fax:
 
Primary Practice Address 12340 JONES RD STE 290
HOUSTON, TX 77070-3129
United States

Phone: 281-894-7222 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX79114