Provider Demographics
NPI:1699124073
Name:HEALEY, JEFFREY (LPC)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:
Last Name:HEALEY
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 1:2500 BURLESON RD
Mailing Address - Street 2:215
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-5609
Mailing Address - Country:US
Mailing Address - Phone:512-412-5079
Mailing Address - Fax:
Practice Address - Street 1:7414 JOHNNY MORRIS RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78724-2902
Practice Address - Country:US
Practice Address - Phone:512-841-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional