Provider Demographics
NPI:1730995853
Name:RAINEY, ALISON (LGPC, MS)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:RAINEY
Suffix:
Gender:F
Credentials:LGPC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 E CHURCHVILLE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3481
Mailing Address - Country:US
Mailing Address - Phone:443-595-7627
Mailing Address - Fax:
Practice Address - Street 1:1212 E CHURCHVILLE RD STE 200
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3481
Practice Address - Country:US
Practice Address - Phone:443-595-7627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP15893101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health