Provider Demographics
NPI:1841185998
Name:DAILY, SHAKARIA JELYNNE
Entity type:Individual
Prefix:MRS
First Name:SHAKARIA
Middle Name:JELYNNE
Last Name:DAILY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 BANKSIDE CT
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-1500
Mailing Address - Country:US
Mailing Address - Phone:936-714-2596
Mailing Address - Fax:
Practice Address - Street 1:1701 BANKSIDE CT
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-1500
Practice Address - Country:US
Practice Address - Phone:936-714-2596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92030101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional