institution
Shana Conover, M.a., Lpc
Mental Health Clinic/Center (Including Community Mental Health Center) in Tyler, Texas
NPI 1710146139

Shana Conover, M.a., Lpc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Tyler, TX and is specialized in Mental Health (Including Community Mental Health Center). Shana Conover, M.a., Lpc practices in Tyler, TX. The NPI Number for Shana Conover, M.a., Lpc is 1710146139 and holds a License No. 18503 (Texas).

The current practice location address for Shana Conover, M.a., Lpc is 100 Independence Center Suite 208, Tyler, TX and can be reached out via phone at 903-534-6240 and via fax at 903-534-6248. You can also correspond with Shana Conover, M.a., Lpc through the mailing address at 100 INDEPENDENCE CENTER SUITE 208, TYLER, TX - 75703 (mailing address contact number: 903-534-6240).

Location: 100 Independence Center Suite 208, Tyler, TX, 75703
institution
Provider Profile Details
NPI Number
1710146139
Provider Name
Shana Conover, M.a., Lpc
Credential
Provider Entity Type
Organization
Address
100 Independence Center Suite 208, Tyler, TX, 75703
Phone Number
903-534-6240
Fax Number
903-534-6248
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11568031 01 TX CAQH PROVIDER ID
1235200072 01 TX NPI NUMBER
0023NU 01 TX BC/BS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
100 Independence Center Suite 208
City
State
Zip
75703
Phone Number
903-534-6240
Fax Number
903-534-6248
person
Provider Business Mailing Address Details
Address
100 Independence Center Suite 208
City
State
Zip
75703
Phone Number
903-534-6240
Fax Number
903-534-6248
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
18503 (Texas)
Definition
Definition to come...
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