Provider Demographics
NPI:1619660503
Name:SAVANT, AYESHA (LPC)
Entity Type:Individual
Prefix:
First Name:AYESHA
Middle Name:
Last Name:SAVANT
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 1:5644 TIMBER POINT DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407-1447
Mailing Address - Country:US
Mailing Address - Phone:832-655-7153
Mailing Address - Fax:
Practice Address - Street 1:5644 TIMBER POINT DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407-1447
Practice Address - Country:US
Practice Address - Phone:832-655-7153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-29
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88602101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional