Provider Demographics
NPI:1639815012
Name:HAND, SHANNON RENEE (LPC)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:RENEE
Last Name:HAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:SHANNON
Other - Middle Name:RENEE
Other - Last Name:HAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SHANNON HAND
Mailing Address - Street 1:2930 RAYFORD RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1740
Mailing Address - Country:US
Mailing Address - Phone:832-851-0865
Mailing Address - Fax:
Practice Address - Street 1:2930 RAYFORD RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1740
Practice Address - Country:US
Practice Address - Phone:832-851-0865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78843101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor