Provider Demographics
NPI:1346725033
Name:XIONG, YALI (LPC)
Entity Type:Individual
Prefix:
First Name:YALI
Middle Name:
Last Name:XIONG
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 1:26318 SUNNY SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1774
Mailing Address - Country:US
Mailing Address - Phone:832-420-7717
Mailing Address - Fax:
Practice Address - Street 1:12238 QUEENSTON BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5350
Practice Address - Country:US
Practice Address - Phone:832-420-7717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75920101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor