Individual
MRS. MICAH BEASSIE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,DT, CALT
Contact information
Practice address
3029 PEARLIE DR NW, BROOKHAVEN, MS 39601-9077
(601) 757-4110
Mailing address
3029 PEARLIE DR NW, BROOKHAVEN, MS 39601-9077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MS
Other
Enumeration date
02/21/2026
Last updated
02/21/2026
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