Provider Demographics
NPI:1376295188
Name:WRIGHT, SHELBY RENE (LPC)
Entity Type:Individual
Prefix:MS
First Name:SHELBY
Middle Name:RENE
Last Name:WRIGHT
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 1:3610 GRACIE CIR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2620
Mailing Address - Country:US
Mailing Address - Phone:214-790-2164
Mailing Address - Fax:
Practice Address - Street 1:3610 GRACIE CIR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2620
Practice Address - Country:US
Practice Address - Phone:214-790-2164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-23
Last Update Date:2022-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15190101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor