Provider Demographics
NPI:1063879534
Name:VINSON, DAVID (LPC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:VINSON
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 1:1931 NW MILITARY HWY
Mailing Address - Street 2:
Mailing Address - City:CASTLE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78213-2153
Mailing Address - Country:US
Mailing Address - Phone:706-951-4649
Mailing Address - Fax:
Practice Address - Street 1:1931 NW MILITARY HWY
Practice Address - Street 2:
Practice Address - City:CASTLE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78213-2153
Practice Address - Country:US
Practice Address - Phone:706-951-4649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-28
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007230101YP2500X
TX92218101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional