Provider Demographics
NPI:1427735190
Name:SHEETS, DEANNA (LPC-S)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:SHEETS
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 545
Mailing Address - Street 2:
Mailing Address - City:CANYON
Mailing Address - State:TX
Mailing Address - Zip Code:79015-0545
Mailing Address - Country:US
Mailing Address - Phone:806-282-8323
Mailing Address - Fax:
Practice Address - Street 1:403 HARRELL LN APT B
Practice Address - Street 2:
Practice Address - City:CANYON
Practice Address - State:TX
Practice Address - Zip Code:79015-4264
Practice Address - Country:US
Practice Address - Phone:806-282-8323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67484101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor