Healthcare Provider Details

I. General information

NPI: 1255963203
Provider Name (Legal Business Name): PRIYA HAJARI M.ED., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2020
Last Update Date: 12/22/2023
Certification Date: 12/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8118 FRY RD STE 203
CYPRESS TX
77433-7851
US

IV. Provider business mailing address

3624 N HILLS DR STE A201
AUSTIN TX
78731-3085
US

V. Phone/Fax

Practice location:
  • Phone: 281-377-3743
  • Fax:
Mailing address:
  • Phone: 737-204-8074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number83190
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number83190
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: