Healthcare Provider Details

I. General information

NPI: 1427534288
Provider Name (Legal Business Name): TANYA NICOLE ESCALON MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2018
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 HERITAGE DR
MCKINNEY TX
75069-3256
US

IV. Provider business mailing address

4921 WATSON DR
THE COLONY TX
75056-1027
US

V. Phone/Fax

Practice location:
  • Phone: 469-631-2971
  • Fax:
Mailing address:
  • Phone: 972-626-8906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number74301
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: