Healthcare Provider Details

I. General information

NPI: 1013655471
Provider Name (Legal Business Name): TAYLOR HENDRIX M. ED, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2022
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 DALLAS DR APT 1625
DENTON TX
76205-5210
US

IV. Provider business mailing address

5900 BALCONES DR # 30370
AUSTIN TX
78731-4257
US

V. Phone/Fax

Practice location:
  • Phone: 806-786-2636
  • Fax:
Mailing address:
  • Phone: 626-565-3685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number82444
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number82444
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: