Provider Demographics
NPI:1013254911
Name:DANIELS, SHIRLEY (LPC, LMHC)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:DANIELS
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4618 KINGSTON SHORES LN
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-1646
Mailing Address - Country:US
Mailing Address - Phone:360-481-9594
Mailing Address - Fax:
Practice Address - Street 1:4618 KINGSTON SHORES LN
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-1646
Practice Address - Country:US
Practice Address - Phone:360-481-9594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-11
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional