Provider Demographics
NPI:1609441559
Name:HUMMER-SCHULTE, ALLISON LEIGH (MS, LMFT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:LEIGH
Last Name:HUMMER-SCHULTE
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 83RD AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-9021
Mailing Address - Country:US
Mailing Address - Phone:970-685-9697
Mailing Address - Fax:
Practice Address - Street 1:377 83RD AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-9021
Practice Address - Country:US
Practice Address - Phone:970-685-9697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-24
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0442Medicaid