Provider Demographics
NPI:1396490066
Name:OGLESBY, SHANBRIA DARSHAEY (LPC)
Entity type:Individual
Prefix:
First Name:SHANBRIA
Middle Name:DARSHAEY
Last Name:OGLESBY
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 1:2600 SCOFIELD RIDGE PKWY APT 434
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-7209
Mailing Address - Country:US
Mailing Address - Phone:512-588-8292
Mailing Address - Fax:
Practice Address - Street 1:2600 SCOFIELD RIDGE PKWY APT 434
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-7209
Practice Address - Country:US
Practice Address - Phone:512-588-8292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-21
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health