Provider Demographics
NPI:1316661424
Name:AYERS, ALICIA RYALS (LCSW, LCDC)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:RYALS
Last Name:AYERS
Suffix:
Gender:F
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:
Other - Last Name:RYALS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3120 SOUTHWEST FWY STE 101
Mailing Address - Street 2:PMB 244832
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-4520
Mailing Address - Country:US
Mailing Address - Phone:713-489-7238
Mailing Address - Fax:
Practice Address - Street 1:3120 SOUTHWEST FWY STE 101
Practice Address - Street 2:PMB 244832
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-4520
Practice Address - Country:US
Practice Address - Phone:713-489-7238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16124101YA0400X
TX694241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)