Provider Demographics
NPI:1710196357
Name:PAYTON, DORIS JEAN (LCDC)
Entity Type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:JEAN
Last Name:PAYTON
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7535 ASHBURN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77061-1503
Mailing Address - Country:US
Mailing Address - Phone:713-649-7925
Mailing Address - Fax:
Practice Address - Street 1:7535 ASHBURN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061-1503
Practice Address - Country:US
Practice Address - Phone:713-649-7925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8550101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)