Provider Demographics
NPI:1467113415
Name:SHROPSHIRE, SHIRLEY J (LMFT)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:J
Last Name:SHROPSHIRE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3461 SKINNER RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-7021
Mailing Address - Country:US
Mailing Address - Phone:469-383-0874
Mailing Address - Fax:
Practice Address - Street 1:1510 W JEFFERSON ST STE A
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-2234
Practice Address - Country:US
Practice Address - Phone:972-441-5811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203214106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty