Provider Demographics
NPI:1427366186
Name:SHULTZ, BETTINA NOEL (MA, LPCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:BETTINA
Middle Name:NOEL
Last Name:SHULTZ
Suffix:
Gender:F
Credentials:MA, LPCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 QUARRY LN
Mailing Address - Street 2:
Mailing Address - City:LIBERTY HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78642-4369
Mailing Address - Country:US
Mailing Address - Phone:806-336-8171
Mailing Address - Fax:
Practice Address - Street 1:215 QUARRY LN
Practice Address - Street 2:
Practice Address - City:LIBERTY HILL
Practice Address - State:TX
Practice Address - Zip Code:78642-4369
Practice Address - Country:US
Practice Address - Phone:806-336-8171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63258101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional