Provider Demographics
NPI:1124832043
Name:SHEPPARD, ERIN D (LPC-A)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:D
Last Name:SHEPPARD
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 CANON YEOMANS TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-2778
Mailing Address - Country:US
Mailing Address - Phone:512-810-6333
Mailing Address - Fax:
Practice Address - Street 1:3624 N HILLS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-2415
Practice Address - Country:US
Practice Address - Phone:512-991-2119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96464101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional