Provider Demographics
NPI:1962966150
Name:ANNA SHAVER LPC PLLC
Entity type:Organization
Organization Name:ANNA SHAVER LPC PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:CECILIA
Authorized Official - Last Name:FIFE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LPCC
Authorized Official - Phone:713-876-2078
Mailing Address - Street 1:8327 DOE MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-2871
Mailing Address - Country:US
Mailing Address - Phone:713-876-2078
Mailing Address - Fax:
Practice Address - Street 1:8327 DOE MEADOW DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-2871
Practice Address - Country:US
Practice Address - Phone:713-876-2078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health