Provider Demographics
NPI:1730074543
Name:DELEON, PEYTON (LPC)
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:
Last Name:DELEON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8668 JOHN HICKMAN PKWY STE 1002
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9388
Mailing Address - Country:US
Mailing Address - Phone:972-292-9469
Mailing Address - Fax:888-858-1552
Practice Address - Street 1:8668 JOHN HICKMAN PKWY STE 1002
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9388
Practice Address - Country:US
Practice Address - Phone:972-292-9469
Practice Address - Fax:888-858-1552
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90635101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX90635OtherSTATE OF TEXAS