Provider Demographics
NPI:1649998618
Name:SHULTS, KAREN ELISABETH (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ELISABETH
Last Name:SHULTS
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ELISABETH
Other - Last Name:DAWKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC-ASSOCIATE
Mailing Address - Street 1:212 REDAN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-5406
Mailing Address - Country:US
Mailing Address - Phone:817-542-7179
Mailing Address - Fax:
Practice Address - Street 1:1900 KERSTEN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-3125
Practice Address - Country:US
Practice Address - Phone:713-973-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89455101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health