Individual provider · Type 1 NPI
Austin Davenport, LPC
Professional Counselor · Grand Prairie, TX
NPI number
1487336046
Active
Practice location
2475 Lakewood Dr
Grand Prairie, TX 75054-6801
Mailing address
509 High Ridge Dr
Friendswood, TX 77546-3669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 72790 (TX) |
| Mental Health Counselor | 101YM0800X | 72790 (TX) |
| Professional Counselor Primary | 101YP2500X | 72790 (TX) |
Professional Counselor: Definition to come...
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About NPI 1487336046
Austin Davenport, LPC's National Provider Identifier is 1487336046, issued on Aug 3, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Prairie, TX. The record was last updated on Aug 3, 2023.