Provider Demographics
NPI:1033423488
Name:PARSONS, SHANA MAUREEN (LMFT)
Entity Type:Individual
Prefix:DR
First Name:SHANA
Middle Name:MAUREEN
Last Name:PARSONS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 E GRAYSON ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78208-1003
Mailing Address - Country:US
Mailing Address - Phone:210-872-9199
Mailing Address - Fax:
Practice Address - Street 1:8703 WURZBACH RD
Practice Address - Street 2:SUITE A-1
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1160
Practice Address - Country:US
Practice Address - Phone:210-561-1512
Practice Address - Fax:210-561-1517
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201106106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist