Provider Demographics
NPI:1780363382
Name:GUYTON, NATHAN (LCDC, LPC-ASSOCIATE)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:
Last Name:GUYTON
Suffix:
Gender:M
Credentials:LCDC, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 SAWDUST RD STE 309
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2900
Mailing Address - Country:US
Mailing Address - Phone:833-511-2228
Mailing Address - Fax:
Practice Address - Street 1:719 SAWDUST RD STE 309
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2900
Practice Address - Country:US
Practice Address - Phone:833-511-2228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16587101YA0400X
TX91984101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional