Provider Demographics
NPI:1447929070
Name:RALLINS, PRINCESS
Entity type:Individual
Prefix:MS
First Name:PRINCESS
Middle Name:
Last Name:RALLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 MCCLELLAN ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-1127
Mailing Address - Country:US
Mailing Address - Phone:518-788-0671
Mailing Address - Fax:
Practice Address - Street 1:20 CORPORATE WOODS BLVD STE 209
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12211-2396
Practice Address - Country:US
Practice Address - Phone:518-788-0671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health