Provider Demographics
NPI:1831429091
Name:VYAS, ANAND A (PHD, LPC)
Entity type:Individual
Prefix:DR
First Name:ANAND
Middle Name:A
Last Name:VYAS
Suffix:
Gender:M
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2277 PLAZA DR STE 250
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6609
Mailing Address - Country:US
Mailing Address - Phone:832-549-2067
Mailing Address - Fax:833-296-7809
Practice Address - Street 1:2277 PLAZA DR STE 250
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6609
Practice Address - Country:US
Practice Address - Phone:832-549-2067
Practice Address - Fax:833-296-7809
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-10
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64113101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional