Provider Demographics
NPI:1215076542
Name:SHOOP, DONNA L (LPC)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:L
Last Name:SHOOP
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 1:107 NW MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ENNIS
Mailing Address - State:TX
Mailing Address - Zip Code:75119-4053
Mailing Address - Country:US
Mailing Address - Phone:214-455-2833
Mailing Address - Fax:
Practice Address - Street 1:107 NW MAIN ST
Practice Address - Street 2:
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119-4053
Practice Address - Country:US
Practice Address - Phone:214-455-2833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20006101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor