Provider Demographics
NPI:1619400215
Name:MAYS, SHAWN (LPC)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:MAYS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4909 HIGHWAY 90 S
Mailing Address - Street 2:
Mailing Address - City:NAVASOTA
Mailing Address - State:TX
Mailing Address - Zip Code:77868-4745
Mailing Address - Country:US
Mailing Address - Phone:512-913-6529
Mailing Address - Fax:
Practice Address - Street 1:4909 HIGHWAY 90 S
Practice Address - Street 2:
Practice Address - City:NAVASOTA
Practice Address - State:TX
Practice Address - Zip Code:77868-4745
Practice Address - Country:US
Practice Address - Phone:512-913-6529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72232101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional