Allen, Mictissa

Allen, Mictissa is an individual health care provider with primary practice located at 3084 Westfork Dr Ste C , Baton Rouge LA 70816-2254. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Allen, Mictissa can be contacted via phone (225) 296-6083.

Contact Information

Primary practice address
3084 Westfork Dr Ste C Baton Rouge LA 70816-2254
Phone: (225) 296-6083
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1821515198
LBN Legal business name Allen, Mictissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2017
Last updated Mar 19th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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