Provider Demographics
NPI:1184637449
Name:SELLARS, SCHON DENISE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SCHON
Middle Name:DENISE
Last Name:SELLARS
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 1:6610 BAILEY RD
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2683
Mailing Address - Country:US
Mailing Address - Phone:281-489-6489
Mailing Address - Fax:281-489-6633
Practice Address - Street 1:6610 BAILEY RD
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2683
Practice Address - Country:US
Practice Address - Phone:281-489-6489
Practice Address - Fax:281-489-6633
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16136101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6454LCOtherBCBS PROVIDER #