Provider Demographics
NPI:1043074941
Name:SHENEMAN, ROY E (LPC)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:E
Last Name:SHENEMAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17528 AUTUMN LEAVES DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77302-2204
Mailing Address - Country:US
Mailing Address - Phone:956-499-0665
Mailing Address - Fax:
Practice Address - Street 1:17528 AUTUMN LEAVES DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302-2204
Practice Address - Country:US
Practice Address - Phone:956-499-0665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13166101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional