Provider Demographics
NPI:1528684974
Name:DALLEY, ANDREW AUSTIN (LPC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:AUSTIN
Last Name:DALLEY
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 1:3150 AVENUE OF THE STARS APT 2363
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7033
Mailing Address - Country:US
Mailing Address - Phone:214-901-8056
Mailing Address - Fax:
Practice Address - Street 1:5899 PRESTON RD STE 1102
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9594
Practice Address - Country:US
Practice Address - Phone:469-315-6314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-22
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92674101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional