Provider Demographics
NPI:1669052775
Name:OFFUTT, ALLISON ANNE (LCSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ANNE
Last Name:OFFUTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 CUMBERLAND HILLS DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-4340
Mailing Address - Country:US
Mailing Address - Phone:615-332-5200
Mailing Address - Fax:
Practice Address - Street 1:670 CUMBERLAND HILLS DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-4340
Practice Address - Country:US
Practice Address - Phone:615-332-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN72111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical