Individual provider · Type 1 NPI
Austyn Teal Bailiff, LPC
Professional Counselor · Tyler, TX
NPI number
1124636824
Active
Practice location
1058 Asher Way Ste 400
Tyler, TX 75703-6076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 78113 (TX) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1124636824
Austyn Teal Bailiff, LPC's National Provider Identifier is 1124636824, issued on Jul 19, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Jul 19, 2020.