Provider Demographics
NPI:1770120081
Name:ANCAR, TORY DANIELLE
Entity type:Individual
Prefix:
First Name:TORY
Middle Name:DANIELLE
Last Name:ANCAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 S WILLOW DR STE 203
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-4700
Mailing Address - Country:US
Mailing Address - Phone:713-485-4675
Mailing Address - Fax:833-731-0024
Practice Address - Street 1:5600 S WILLOW DR STE 203
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4700
Practice Address - Country:US
Practice Address - Phone:713-485-4675
Practice Address - Fax:833-731-0024
Is Sole Proprietor?:No
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health