ALLISON BLAIR DIETRICH
NPI 1891448163
Counselor - Professional in Benbrook, TX

Active since January 27, 2022
4208 RIDGLEA COUNTRY CLUB DR, BENBROOK, TX 76126(817) 703-1680 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Allison Blair Dietrich NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLISON BLAIR DIETRICH (NPI 1891448163) is an individual professional provider in Benbrook, Texas, licensed in Texas (68145) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1891448163
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALLISON BLAIR DIETRICH
Location Address4208 RIDGLEA COUNTRY CLUB DRBenbrook, TX 76126-2224
Mailing Address4208 Ridglea Country Club DrBenbrook, TX 76126-2224 · (817) 703-1680
Sole ProprietorYes
Enumeration DateJanuary 27, 2022
NPPES CertifiedJanuary 27, 2022
NPI 1891448163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 68145
4208 RIDGLEA COUNTRY CLUB DR, Benbrook, TX 76126

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891448163, enumerated as an "individual" on January 27, 2022.

The provider is located at 4208 RIDGLEA COUNTRY CLUB DR BENBROOK, TX 76126 and the phone number is (817) 703-1680.

Counselor with taxonomy code 101YP2500X and a focus in Professional.