Provider Demographics
NPI:1790976322
Name:SHEIRE, ANGELA K (MA, LLPC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:K
Last Name:SHEIRE
Suffix:
Gender:F
Credentials:MA, LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 ARMADILLO LN
Mailing Address - Street 2:
Mailing Address - City:CANYON LAKE
Mailing Address - State:TX
Mailing Address - Zip Code:78133-2714
Mailing Address - Country:US
Mailing Address - Phone:210-549-7602
Mailing Address - Fax:210-610-5104
Practice Address - Street 1:8252 MEDICAL DR.
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-549-7602
Practice Address - Fax:210-610-5104
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009192101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health