| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DERRICK ALLEN | 1174993257 | 2024-04-07 |
Derrick Allen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174993257. Registration indicates Derrick Allen is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, ) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Mr. Derrick Allen |
| Practice Office Address | 3009 RAY WEILAND DR UNIT 423 BAKER, LA US |
| Practice Office Telephone | 2257723334 |
| Mailing Address | PO BOX 423 BAKER, LA 707040423 US |
| Business Telephone | 2257723334 |
| Code | Practice | License No State |
|---|---|---|
| 101YA0400X | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | 5113
LA |
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |