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SHANA CONOVER M.A. LPC NPI 1710146139


NPI Information

NPI: 1710146139
Provider Name: SHANA CONOVER, M.A., LPC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
100 INDEPENDENCE CENTER SUITE 208
TYLER, TX
ZIP 75703
Phone: (903) 534-6240
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SHANA CONOVER, M.A., LPC is a mental health (including community mental health center) clinic center in Tyler, TX. SHANA CONOVER, M.A., LPC NPI is 1710146139. The provider is registered as an organization entity type.

The provider's business location address is:

100 INDEPENDENCE CENTER SUITE 208
TYLER, TX
ZIP 75703
Phone: (903) 534-6240
Fax: (903) 534-6248

The provider's authorized official is Shana Jean Conover .
The authorized official title is Owner and has the following contact phone number (903) 534-6240.

The enumeration date for this NPI number is 6/2/2008 and was last updated on 6/16/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)18503TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10023NUOTHERTEXASBC/BS PROVIDER NUMBER
21235200072OTHERTEXASNPI NUMBER
311568031OTHERTEXASCAQH PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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