Provider Demographics
NPI:1992206171
Name:CARPER, SHANDELYN (LPC)
Entity Type:Individual
Prefix:MISS
First Name:SHANDELYN
Middle Name:
Last Name:CARPER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:SHAY
Other - Middle Name:
Other - Last Name:CARPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1019 WHISPERING PINE DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-2102
Mailing Address - Country:US
Mailing Address - Phone:713-392-0675
Mailing Address - Fax:
Practice Address - Street 1:1019 WHISPERING PINE DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-2102
Practice Address - Country:US
Practice Address - Phone:713-392-0675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-23
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72853101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional