IndividualActive
Allison Southard, LMFT
NPI 1861624595 · Marriage & Family Therapist · Holtsville, NY
Provider details
- NPI number
- 1861624595
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- No
- License
- 000709-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
755 Waverly Ave
Suite 312
Holtsville, NY 11742-1190
Phone: (631) 965-1502
Approximate (ZIP-level) locationGet directions
Mailing address
18 Forest Lane
Coram, NY 11727-3139
Registry dates
- Enumerated
- 2009-08-13
- Last updated
- 2015-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.