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NPI Code Detail

MEDICARE: TROY HYLAN LPC

MEDICARE: TROY HYLAN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC.0021380CO
2101YP2500XProfessional Counselor8719LA

General Provider Information

NPI Number : 1407637614
Entity Type Code : Individual
Provider Name (Legal Business Name) : TROY HYLAN LPC
Provider Business Mailing Address
First Line : 413 SLEEPY HOLW
Second Line :
City : SHREVEPORT
State : LA
Zip : 71115-9534
Country : US
Telephone Number : 318-507-1596
Fax Number :
Provider Business Practice Location Address
First Line : 413 SLEEPY HOLW
Second Line :
City : SHREVEPORT
State : LA
Zip : 71115-9534
Country : US
Telephone Number : 318-507-1596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2023
Last Update Date : 03/02/2026

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Directions to “ TROY HYLAN LPC” Practice Location

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