Provider Demographics
NPI:1407461866
Name:PUGH, ALISON RENEE
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:RENEE
Last Name:PUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:RENEE
Other - Last Name:CHURCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:3484 HIDDEN HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-7183
Mailing Address - Country:US
Mailing Address - Phone:214-304-5258
Mailing Address - Fax:
Practice Address - Street 1:3484 HIDDEN HOLLOW DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-7183
Practice Address - Country:US
Practice Address - Phone:214-304-5258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-12
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX606051041C0700X, 1041C0700X
RIISW042921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical