Provider Demographics
NPI:1275545386
Name:MARTEL, SHEILA MARIE (MED,LPC)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:MARIE
Last Name:MARTEL
Suffix:
Gender:F
Credentials:MED,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 RIDGE OAK DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4819
Mailing Address - Country:US
Mailing Address - Phone:512-266-1475
Mailing Address - Fax:512-246-0759
Practice Address - Street 1:1100 ROUND ROCK AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4511
Practice Address - Country:US
Practice Address - Phone:512-266-1475
Practice Address - Fax:512-246-0759
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12605101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health