Provider Demographics
NPI:1538926928
Name:PRYOR, JAIDA (LMFT-A)
Entity type:Individual
Prefix:MRS
First Name:JAIDA
Middle Name:
Last Name:PRYOR
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 CORSAIR WAY
Mailing Address - Street 2:
Mailing Address - City:FERRIS
Mailing Address - State:TX
Mailing Address - Zip Code:75125-9210
Mailing Address - Country:US
Mailing Address - Phone:214-903-2940
Mailing Address - Fax:
Practice Address - Street 1:3308 PRESTON RD STE 350-374
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7453
Practice Address - Country:US
Practice Address - Phone:866-867-5393
Practice Address - Fax:844-860-5395
Is Sole Proprietor?:No
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205373106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist