Provider Demographics
NPI:1629275755
Name:HYMAN, CANDACE E (LPC)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:E
Last Name:HYMAN
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 1:7110 ALPHA RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-5526
Mailing Address - Country:US
Mailing Address - Phone:972-233-7112
Mailing Address - Fax:872-233-7114
Practice Address - Street 1:8222 DOUGLAS AVE STE 777
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5938
Practice Address - Country:US
Practice Address - Phone:972-761-9902
Practice Address - Fax:972-233-7114
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14348101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health