MEDICARE: SHUNDRA RELIFORD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	6905	LA

General Provider Information

NPI Number	:	1447183363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHUNDRA RELIFORD

Provider Business Mailing Address
First Line	:	16966 CHAPEL KNOX DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-5288
Country	:	US
Telephone Number	:	678-457-9880
Fax Number	:

Provider Business Practice Location Address
First Line	:	16966 CHAPEL KNOX DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-5288
Country	:	US
Telephone Number	:	678-457-9880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ SHUNDRA RELIFORD ” Practice Location

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