Most Relevant Information
Provider Data
| NPI Number: | 1003479239 |
| Provider Name: | TY A ALLISON LPC, NCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 70250 |
Most Important Dates
| Enumeration Date: | 04/14/2019 |
| Last Updated: | 04/14/2019 |
Provider Practice Location
3500 OAK LAWN AVE STE 230
DALLAS
TX
752194369
Practice Location Phone/Fax
| Phone: | 8176895451 |
| Fax: |
Provider Mailing Location
8594 HANFORD DR
DALLAS
TX
752436412
Provider Mailing Phone/Fax
| Phone: | 8176895451 |
| Fax: |