Provider Demographics
NPI:1326332685
Name:PACE, WILLIAM ARTHUR (LPC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ARTHUR
Last Name:PACE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 RICE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-3259
Mailing Address - Country:US
Mailing Address - Phone:903-581-6300
Mailing Address - Fax:903-581-0235
Practice Address - Street 1:1520 RICE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-3259
Practice Address - Country:US
Practice Address - Phone:903-581-6300
Practice Address - Fax:903-581-0235
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-04
Last Update Date:2011-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65793101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health