Provider Demographics
NPI:1124813787
Name:HALLUM, RYLEE
Entity type:Individual
Prefix:
First Name:RYLEE
Middle Name:
Last Name:HALLUM
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8655 BROOKHOLLOW BLVD APT 3302
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0113
Mailing Address - Country:US
Mailing Address - Phone:979-824-9481
Mailing Address - Fax:
Practice Address - Street 1:1400 N COIT RD STE 706
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-6658
Practice Address - Country:US
Practice Address - Phone:940-758-5964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92398101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional