MEDICARE: DEVYN DEONA MAYER 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
1	101YP2500X	Professional Counselor	14822	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	38692	OTHER	TX	AETNA BETTER HEALTH
2	398481	OTHER	TX	AVAILITY
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	712LLC	OTHER	TX	BLUE CROSS BLUE SHIELD OF TEXAS

General Provider Information

NPI Number	:	1417210865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVYN DEONA MAYER LPC

Provider Business Mailing Address
First Line	:	3520 RANCH HOUSE RD
Second Line	:
City	:	WILLOW PARK
State	:	TX
Zip	:	76087-7659
Country	:	US
Telephone Number	:	817-709-3243
Fax Number	:	817-441-6129

Provider Business Practice Location Address
First Line	:	104 W RUSSELL ST
Second Line	:	PYRAMID COUNSELING CENTER
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-5360
Country	:	US
Telephone Number	:	817-594-8780
Fax Number	:	817-862-7478

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2012
Last Update Date	:	01/18/2026

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Directions to “ DEVYN DEONA MAYER LPC” Practice Location

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