Carolyn B Guillory, LPC, RN
Counselor, Mental Health in Dallas, TX. Individual provider (NPI-1).
NPI number1982113114
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982113114
- Entity type
- Individual (NPI-1)
- Name
- Ms. Carolyn B Guillory
- Credential
- LPC, RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2017
- Certification date
- Jun 30, 2022
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 71485 | TX | Yes |
| 163WP0808X | Registered Nurse, Psych/Mental Health | 864408 | TX |
Practice location
8035 E R L Thornton FwyDallas, TX 75228-7018
Phone 469-709-8977
Mailing address
8035 E R L Thornton FwyDallas, TX 75228-7018
Phone 469-709-8977
Other practice locations
9708 Skillman St
Dallas, TX 75243-5150
Dallas, TX 75243-5150
Phone 214-743-1200
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