Healthcare Provider Details

I. General information

NPI: 1093638108
Provider Name (Legal Business Name): JANA D ANDERSON LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E SPRING VALLEY RD
RICHARDSON TX
75081-5351
US

IV. Provider business mailing address

1600 E SPRING VALLEY RD
RICHARDSON TX
75081-5351
US

V. Phone/Fax

Practice location:
  • Phone: 469-593-7047
  • Fax:
Mailing address:
  • Phone: 469-593-7047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number19945
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: