Provider Demographics
NPI:1245926344
Name:GARRETT, LAYNE CHAPMAN (MA, LPC)
Entity type:Individual
Prefix:
First Name:LAYNE
Middle Name:CHAPMAN
Last Name:GARRETT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 SKYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-4201
Mailing Address - Country:US
Mailing Address - Phone:770-971-8379
Mailing Address - Fax:
Practice Address - Street 1:3600 ELDORADO PKWY STE D3
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3793
Practice Address - Country:US
Practice Address - Phone:770-971-8379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84650101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional