# ALLEN THERAPEUTICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679744528
- **Authorized official:** MISS RACQUEL SARITA ALLEN SLP-CCC (OWNER)
- **Authorized official phone:** (404) 403-0250

## Contact information

- **Practice address:** 5604 VILLAGE PKWY, UNION CITY, GA 30291-6102
- **Practice address phone:** (770) 964-0142
- **Mailing address:** 5604 VILLAGE PKWY, UNION CITY, GA 30291-6102
- **Mailing address phone:** (770) 964-0142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 713864 | GA | Yes |

## Other

- **Enumeration date:** 03/19/2008
- **Last updated:** 03/19/2008