Allen, Tresa Darlane
Allen, Tresa Darlane is an individual health care provider with primary practice located at 3401 Berrywood Dr Ste 300 , Columbia MO 65201-6515. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Licensed Practical Nurse. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Allen, Tresa Darlane can be contacted via phone (573) 777-8330.Contact Information
Primary practice address
3401 Berrywood Dr Ste 300
Columbia MO 65201-6515
Phone: (573) 777-8330
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2012003365 | Missouri |
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 054513 | Missouri |
Profile Details
NPI number | 1225620404 |
---|---|
LBN Legal business name | Allen, Tresa Darlane |
Credentials | MSW, LMSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2021 |
Last updated | Jan 17th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225620404 | NPPES |
Missouri | MEDICAID | 00000 |
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