Provider Demographics
NPI:1093142572
Name:SKALIKS, ANDREA (LPC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:SKALIKS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 K AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5306
Mailing Address - Country:US
Mailing Address - Phone:972-423-8727
Mailing Address - Fax:
Practice Address - Street 1:2600 K AVE
Practice Address - Street 2:STE 102
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5306
Practice Address - Country:US
Practice Address - Phone:972-423-8727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67551101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor