Provider Demographics
NPI:1972302925
Name:SECOY, JIMMY ALLEN (LPC ASSOCIATE)
Entity type:Individual
Prefix:MR
First Name:JIMMY
Middle Name:ALLEN
Last Name:SECOY
Suffix:
Gender:
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 BUCKNER ST
Mailing Address - Street 2:
Mailing Address - City:BURKBURNETT
Mailing Address - State:TX
Mailing Address - Zip Code:76354-2384
Mailing Address - Country:US
Mailing Address - Phone:940-631-9659
Mailing Address - Fax:
Practice Address - Street 1:407 BUCKNER ST
Practice Address - Street 2:
Practice Address - City:BURKBURNETT
Practice Address - State:TX
Practice Address - Zip Code:76354-2384
Practice Address - Country:US
Practice Address - Phone:940-631-9659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93501101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional