Provider Demographics
NPI:1326920570
Name:JEFCOAT-FERRISS, CHRISTEN TAYLOR (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:TAYLOR
Last Name:JEFCOAT-FERRISS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CHRISTEN
Other - Middle Name:TAYLOR
Other - Last Name:JEFCOAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3601 BIRDWELL DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-8232
Mailing Address - Country:US
Mailing Address - Phone:601-395-1841
Mailing Address - Fax:
Practice Address - Street 1:455 RICE RD STE 112
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-3604
Practice Address - Country:US
Practice Address - Phone:903-415-5757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87090101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health