Provider Demographics
NPI:1063689925
Name:SCHENK, SHELLY ELIZABETH (LPC)
Entity type:Individual
Prefix:MRS
First Name:SHELLY
Middle Name:ELIZABETH
Last Name:SCHENK
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 1:20826 SILK OAK CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6298
Mailing Address - Country:US
Mailing Address - Phone:281-578-7777
Mailing Address - Fax:
Practice Address - Street 1:20826 SILK OAK CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6298
Practice Address - Country:US
Practice Address - Phone:281-578-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12703101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health