Conover, Shana Jean

Conover, Shana Jean is an sole proprietor health care provider with primary practice located at 1810 Shiloh Rd Suite 605, Tyler TX 75703-2419. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Conover, Shana Jean can be contacted via phone (903) 530-9085.

Contact Information

Primary practice address
1810 Shiloh Rd Suite 605 Tyler TX 75703-2419
Phone: (903) 530-9085
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 18503 Texas

Profile Details

NPI number 1235200072
LBN Legal business name Conover, Shana Jean
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Apr 20th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235200072 NPPES
Texas MEDICAID 2022519-02
Texas Other 010822112
Texas MEDICAID 2022519-01

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