| Shaunda Rena Petty, | |
|
719 W Front St Ste 262, Tyler, TX 75702-7975 | |
| (903) 636-3868 | |
| Not Available |
| Full Name | Shaunda Rena Petty |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 719 W Front St Ste 262, Tyler, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447145453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 96260 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shaunda Rena Petty, 719 W Front St Ste 262, Tyler, TX 75702-7975 Ph: (903) 636-3868 | Shaunda Rena Petty, 719 W Front St Ste 262, Tyler, TX 75702-7975 Ph: (903) 636-3868 |
Mr. Laramie C Selman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4101 University Blvd, Tyler, TX 75701 Phone: 903-363-7704 | |
Mrs. Jill Marie Kirkley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3800 Paluxy Dr, Ste 240, Tyler, TX 75703 Phone: 903-630-0422 | |
Mrs. Joy Louise Bevoni, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14023 State Highway 155 S, Tyler, TX 75703 Phone: 903-534-0414 | |
Mr. David Comins Wheeler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5875 Grace Ave, Tyler, TX 75707 Phone: 903-316-5106 | |
Desiree Laurel Glaze, LPC S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Rickety Ln Ste E, Tyler, TX 75703 Phone: 903-330-0601 | |
Lakeisha Roquemore, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 S Bennett Ave, Tyler, TX 75701 Phone: 903-535-7314 | |
Isaac Rodgerson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6724 Paluxy Dr Ste 400, Tyler, TX 75703 Phone: 903-630-4310 |