Provider Demographics
NPI:1235701947
Name:OLIVER, ALLYSON (MS, LPC)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:OLIVER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1244 SOUTHRIDGE CT STE 101
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-4307
Mailing Address - Country:US
Mailing Address - Phone:822-355-6206
Mailing Address - Fax:
Practice Address - Street 1:1244 SOUTHRIDGE CT STE 101
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-4307
Practice Address - Country:US
Practice Address - Phone:822-355-6206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82089101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82089OtherTX STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS