Allie Archer, LPC

Individual provider Active NPI Professional Counselor · Baytown, TX

NPI 1225720642 · NPPES record last updated May 24, 2023

Key facts

NPI
1225720642
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
87453 (TX)
Practice address
7020 FM 3180 Rd
Baytown, TX 77523-7277
Phone
(713) 857-1067
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 1, 2024 through Feb 1, 2028

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
87453TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 87453 TX Yes

Addresses

Primary practice location

7020 FM 3180 Rd
Baytown, TX 77523-7277

Mailing address

7020 FM 3180 Rd
Baytown, TX 77523-7277

Other providers in Baytown, TX

All providers in Baytown, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.