Provider Demographics
NPI:1750039129
Name:TONEY, SHANA DENISE (LPC)
Entity Type:Individual
Prefix:
First Name:SHANA
Middle Name:DENISE
Last Name:TONEY
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 1:670 FALLOW LN
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-4254
Mailing Address - Country:US
Mailing Address - Phone:713-295-0632
Mailing Address - Fax:
Practice Address - Street 1:12401 S POST OAK RD
Practice Address - Street 2:STE 233/234
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-2020
Practice Address - Country:US
Practice Address - Phone:713-970-1012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-15
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74403101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty