Individual provider · Type 1 NPI

Becca Bacon

Mental Health Counselor · Tyler, TX

NPI number 1689596876 Active

Practice location

7925 S Broadway Ave Ste 820
Tyler, TX 75703-5255

Call (903) 561-8955 Map

Mailing address

401 Easy St
Frankston, TX 75763-3248

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X95618 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1689596876

Becca Bacon's National Provider Identifier is 1689596876, issued on Jul 28, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tyler, TX. The record was last updated on Jul 28, 2026.