Provider Demographics
NPI:1679756811
Name:HEBERT, SHERELL GRACE (LPC)
Entity Type:Individual
Prefix:
First Name:SHERELL
Middle Name:GRACE
Last Name:HEBERT
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 1:18062 FM 529 RD STE 147
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1168
Mailing Address - Country:US
Mailing Address - Phone:832-356-8549
Mailing Address - Fax:281-254-7979
Practice Address - Street 1:7171 HIGHWAY 6 N STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095
Practice Address - Country:US
Practice Address - Phone:832-356-8549
Practice Address - Fax:281-254-7979
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2019-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59674101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX189403202Medicaid