Mary Coleman Allen | Atlanta, GA • PECOS Search

Mary Coleman Allen

Counselor

Behavioral Health & Social Service Providers

2964 Peachtree Rd NW, Suite 610, Atlanta, GA 30305-2153

PECOS Enrollment

Based on the most recent information from CMS, provider Mary Coleman Allen does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1568743615
Provider Type
Individual
Full Name
Allen, Mary Coleman
Title
Dr.
Credential
PH.D., LPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/2/2011
Last Updated
9/2/2011

Contact Information

Practice Location

2964 Peachtree Rd NW, Suite 610, Atlanta, GA 30305-2153

Unlisted Fax

Mailing Location

2964 Peachtree Rd NW, Suite 610, Atlanta, GA 30305-2153

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License LPC003773 Georgia