Provider Demographics
NPI:1467320135
Name:BANDY, ANTHONY SHAWN (LPC ASSOCIATE)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:SHAWN
Last Name:BANDY
Suffix:
Gender:M
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 1:8523 N CAPITAL OF TEXAS HWY APT 3047
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8081
Mailing Address - Country:US
Mailing Address - Phone:512-992-5604
Mailing Address - Fax:
Practice Address - Street 1:8523 N CAPITAL OF TEXAS HWY APT 3047
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8081
Practice Address - Country:US
Practice Address - Phone:512-992-5604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-25
Last Update Date:2025-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99126101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional