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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225620404 NPPES
Missouri MEDICAID 00000

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