Provider Demographics
NPI:1417716978
Name:MCLAUGHLIN, SHANLEY RICHARDS (LPC)
Entity Type:Individual
Prefix:
First Name:SHANLEY
Middle Name:RICHARDS
Last Name:MCLAUGHLIN
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 1:8806 TALLWOOD DR APT 66
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-7531
Mailing Address - Country:US
Mailing Address - Phone:512-626-1743
Mailing Address - Fax:
Practice Address - Street 1:8806 TALLWOOD DR APT 66
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-7531
Practice Address - Country:US
Practice Address - Phone:512-626-1743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87149101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health