Doctor Name: | YVONNE MCCOY |
NPI Number: | 1407095664 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 14435 |
Business Practice Address: | 3221 W Pioneer Pkwy Pantego, TX - 760134620 |
Business Phone Number: | 8172769009 |
Business Fax Number: | |
Mailing Address: | 505 Chisolm Ct, COLLEYVILLE |
State: | TX |
Postal Code: | 760347033 |
Phone Number: | 8176057001 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2009 |
NPI Last Update Date: | 02/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 14435 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |