Landry, Ty Christopher
Landry, Ty Christopher is an sole proprietor health care provider with primary practice located at 15512 Miss Adriennes Path , Pflugerville TX 78660-3282. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Landry, Ty Christopher can be contacted via phone (512) 252-7835.Contact Information
Primary practice address
15512 Miss Adriennes Path
Pflugerville TX 78660-3282
Phone: (512) 252-7835
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 15628 | Texas |
Profile Details
| NPI number | 1043404569 |
|---|---|
| LBN Legal business name | Landry, Ty Christopher |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2007 |
| Last updated | Aug 28th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043404569 | NPPES |
| Texas | MEDICAID | 28027301 |
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