Provider Demographics
NPI:1831598275
Name:AUTHIER, RYAN (LPC)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:
Last Name:AUTHIER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 ELMIRA RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78721-1314
Mailing Address - Country:US
Mailing Address - Phone:903-875-8430
Mailing Address - Fax:
Practice Address - Street 1:1801 ELMIRA RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78721-1314
Practice Address - Country:US
Practice Address - Phone:903-875-8430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69509101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional