Provider Demographics
NPI:1457486607
Name:WHEELER, SHIRLEY M (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:M
Last Name:WHEELER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12866 WESTMERE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-3740
Mailing Address - Country:US
Mailing Address - Phone:281-497-0427
Mailing Address - Fax:713-974-3081
Practice Address - Street 1:7887 SAN FELIPE ST
Practice Address - Street 2:SUITE 248
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1620
Practice Address - Country:US
Practice Address - Phone:713-974-4448
Practice Address - Fax:713-974-3081
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0109131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical