Provider Demographics
NPI:1568178424
Name:CAREW-LINDIE, SHANNA (LPC)
Entity Type:Individual
Prefix:
First Name:SHANNA
Middle Name:
Last Name:CAREW-LINDIE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHANNA
Other - Middle Name:
Other - Last Name:CAREW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2010 CALDBECK LN
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-6087
Mailing Address - Country:US
Mailing Address - Phone:713-240-5878
Mailing Address - Fax:
Practice Address - Street 1:2010 CALDBECK LN
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-6087
Practice Address - Country:US
Practice Address - Phone:713-240-5878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-24
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85516101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional