Provider Demographics
NPI:1336618354
Name:GALYON COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:GALYON COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GALYON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:830-613-5008
Mailing Address - Street 1:PO BOX 1934
Mailing Address - Street 2:
Mailing Address - City:KINGSLAND
Mailing Address - State:TX
Mailing Address - Zip Code:78639-1934
Mailing Address - Country:US
Mailing Address - Phone:830-613-5008
Mailing Address - Fax:512-337-1906
Practice Address - Street 1:1811A N US HIGHWAY 281 STE 4
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-4313
Practice Address - Country:US
Practice Address - Phone:830-201-3028
Practice Address - Fax:512-337-1906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-20
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1902918576OtherNPI1