Provider Demographics
NPI:1144026006
Name:ALLEN, JOEANN (RMHCI)
Entity type:Individual
Prefix:
First Name:JOEANN
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 MARCOS DR APT T503
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2568
Mailing Address - Country:US
Mailing Address - Phone:786-209-7129
Mailing Address - Fax:
Practice Address - Street 1:3030 MARCOS DR APT T503
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2568
Practice Address - Country:US
Practice Address - Phone:786-209-7129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL23620101200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101200000XBehavioral Health & Social Service ProvidersDrama Therapist