Provider Demographics
NPI:1083378590
Name:JOSEPH, SHELBY JEAN (LPC)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:JEAN
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-4238
Mailing Address - Country:US
Mailing Address - Phone:832-266-7007
Mailing Address - Fax:
Practice Address - Street 1:730 N POST OAK RD STE 301
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-3816
Practice Address - Country:US
Practice Address - Phone:325-266-1143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-30
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83084101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional