Provider Demographics
NPI:1902676133
Name:SHALLWANI, SIMRAN (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:SIMRAN
Middle Name:
Last Name:SHALLWANI
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 S RIDGE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-5104
Mailing Address - Country:US
Mailing Address - Phone:469-833-2247
Mailing Address - Fax:
Practice Address - Street 1:175 S RIDGE RD STE 200
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-5104
Practice Address - Country:US
Practice Address - Phone:469-833-2247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70728101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health