Provider Demographics
NPI:1639508690
Name:BAYLOR, JULIET (LPC, ATR)
Entity Type:Individual
Prefix:
First Name:JULIET
Middle Name:
Last Name:BAYLOR
Suffix:
Gender:F
Credentials:LPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 ARROW POINT DR
Mailing Address - Street 2:207
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7737
Mailing Address - Country:US
Mailing Address - Phone:512-574-4395
Mailing Address - Fax:
Practice Address - Street 1:1101 ARROW POINT DR
Practice Address - Street 2:207
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7737
Practice Address - Country:US
Practice Address - Phone:512-574-4395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-10
Last Update Date:2013-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63809101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional