Provider Demographics
NPI:1437732229
Name:THE OAKS COUNSELING AND PLAY THERAPY, PLLC
Entity Type:Organization
Organization Name:THE OAKS COUNSELING AND PLAY THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIMELPFENING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-702-9562
Mailing Address - Street 1:19315 FM 2252 STE 304
Mailing Address - Street 2:
Mailing Address - City:GARDEN RIDGE
Mailing Address - State:TX
Mailing Address - Zip Code:78266-2553
Mailing Address - Country:US
Mailing Address - Phone:210-702-9562
Mailing Address - Fax:
Practice Address - Street 1:19315 FM 2252 STE 304
Practice Address - Street 2:
Practice Address - City:GARDEN RIDGE
Practice Address - State:TX
Practice Address - Zip Code:78266-2553
Practice Address - Country:US
Practice Address - Phone:210-702-9562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-30
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)