Provider Demographics
NPI:1972149581
Name:ALBAKRY, FADYA (LPC LCDC)
Entity type:Individual
Prefix:
First Name:FADYA
Middle Name:
Last Name:ALBAKRY
Suffix:
Gender:F
Credentials:LPC LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 BEE CAVES RD STE 650-183
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6600
Mailing Address - Country:US
Mailing Address - Phone:512-589-5897
Mailing Address - Fax:
Practice Address - Street 1:1452 WILD BASIN LDG
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-2700
Practice Address - Country:US
Practice Address - Phone:512-589-5897
Practice Address - Fax:816-239-8312
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2020-11-13
Deactivation Date:2020-11-03
Deactivation Code:
Reactivation Date:2020-11-12
Provider Licenses
StateLicense IDTaxonomies
TX12288101YA0400X
TX70192101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)