Provider Demographics
NPI:1659537215
Name:LILES, JAMES AYDEN (LPC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:AYDEN
Last Name:LILES
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 1:7701 N LAMAR BLVD STE 327
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-1000
Mailing Address - Country:US
Mailing Address - Phone:512-532-2891
Mailing Address - Fax:
Practice Address - Street 1:7701 N LAMAR BLVD STE 327
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1000
Practice Address - Country:US
Practice Address - Phone:512-532-2891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63247101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional