Provider Demographics
NPI:1952941452
Name:MEJIA, AUBIE JOANNA (LPC)
Entity Type:Individual
Prefix:
First Name:AUBIE
Middle Name:JOANNA
Last Name:MEJIA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:MEJIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1125 RAINTREE CIR STE 180
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5289
Mailing Address - Country:US
Mailing Address - Phone:214-893-7674
Mailing Address - Fax:
Practice Address - Street 1:1125 RAINTREE CIR STE 180
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-5289
Practice Address - Country:US
Practice Address - Phone:214-893-7674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73455101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional