Individual
MRS. DIATRA C ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
(859) 233-4511
(859) 281-3911
Mailing address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
(859) 233-4511
(859) 281-3911
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
820
KY
1041C0700X
Clinical Social Worker
Primary
3885
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
03/09/2007
Last updated
04/23/2026
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