Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANTALE ETHERIDGE
Active Sole ProprietorSHANTALE ETHERIDGE is a Professional Counselor healthcare provider located in KILLEEN, Texas. NPI 1801338538 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · KILLEEN, TX
Registration Details
- NPI Number
- 1801338538
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 11, 2016 (9.7283811224619 yrs)
- Last Updated
- Jun 18, 2024
- License
-
1920 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2403 W STAN SCHLUETER LOOP UNIT 690125KILLEEN, TX, 765490206Browse TX providers · Browse ZIP 76549
- Phone
- 2544992905
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in KILLEEN, TX
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE R SIMON | MS, LPC, LPA | 1295728657 |
| DONNA MAE BETTY TWAIT | LPC | 1437110178 |
| MS. LYNN YVONNE DOWLING | MS, LPC | 1366405425 |
| ANA ROSA DELGADO | LPC CAS | 1831156702 |
| MS. DEBORAH ANN WELSH | LPC | 1336190750 |
| CAMILLE T JOHNSTON | LPC | 1649221797 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.