Provider Demographics
NPI:1851267264
Name:OVERMYER, SHANNA MONIQUE (LPC)
Entity type:Individual
Prefix:
First Name:SHANNA
Middle Name:MONIQUE
Last Name:OVERMYER
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 1:1024 KERSEY DR
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-4432
Mailing Address - Country:US
Mailing Address - Phone:512-620-2439
Mailing Address - Fax:
Practice Address - Street 1:701 FM 685 STE 530
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-7105
Practice Address - Country:US
Practice Address - Phone:512-620-2439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90372101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor