Provider Demographics
NPI:1831377316
Name:NASCHE, SHANNA KAYE (LPC)
Entity type:Individual
Prefix:MS
First Name:SHANNA
Middle Name:KAYE
Last Name:NASCHE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHANNA
Other - Middle Name:KAYE
Other - Last Name:LONGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3215 SHORE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-6455
Mailing Address - Country:US
Mailing Address - Phone:214-616-3103
Mailing Address - Fax:
Practice Address - Street 1:3215 SHORE VIEW DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-6455
Practice Address - Country:US
Practice Address - Phone:214-616-3103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61102101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional