Healthcare Provider Details
I. General information
NPI: 1942921259
Provider Name (Legal Business Name): BAYLEE HUX M.S. LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/06/2022
Last Update Date: 09/06/2022
Certification Date: 09/06/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8350 N CENTRAL EXPY STE 1275
DALLAS TX
75206-1614
US
IV. Provider business mailing address
334 FAIRVIEW CT
COPPELL TX
75019-2276
US
V. Phone/Fax
- Phone: 972-445-9560
- Fax: 972-791-8754
- Phone: 972-672-0714
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 89295 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: