Provider Demographics
NPI:1508128018
Name:GUNDY, SHALONVIA REYON (MA, LPC-S)
Entity Type:Individual
Prefix:MRS
First Name:SHALONVIA
Middle Name:REYON
Last Name:GUNDY
Suffix:
Gender:F
Credentials:MA, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 S DAIRY ASHFORD RD STE 380
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5733
Mailing Address - Country:US
Mailing Address - Phone:832-736-3223
Mailing Address - Fax:888-965-9540
Practice Address - Street 1:2000 S DAIRY ASHFORD RD STE 380
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5733
Practice Address - Country:US
Practice Address - Phone:832-736-3223
Practice Address - Fax:888-965-9540
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2019-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65778101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health