Provider Demographics
NPI:1952659062
Name:AYERS, JANE (LPC, LPA, LSSP)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:
Last Name:AYERS
Suffix:
Gender:F
Credentials:LPC, LPA, LSSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 TRINITY MILLS RD APT 8201
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-7018
Mailing Address - Country:US
Mailing Address - Phone:469-502-1957
Mailing Address - Fax:
Practice Address - Street 1:4350 TRINITY MILLS RD APT 8201
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-7018
Practice Address - Country:US
Practice Address - Phone:469-502-1957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-21
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69701101YP2500X
TX70346103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional