Provider Demographics
NPI:1356960546
Name:BAYES, MONICA ERIN (LPC)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ERIN
Last Name:BAYES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:BAYES
Other - Last Name:CRISWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:116 E MOSLEY LN
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-7251
Mailing Address - Country:US
Mailing Address - Phone:936-714-5783
Mailing Address - Fax:
Practice Address - Street 1:116 E MOSLEY LN
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-7251
Practice Address - Country:US
Practice Address - Phone:936-714-5783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75424101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty