MEDICARE: MRS. SHACAROL MONTEIRO MS, LPC

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	101YM0800X	Mental Health Counselor	76823	TX
2	101YP2500X	Professional Counselor	76823	TX

General Provider Information

NPI Number	:	1861087116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHACAROL MONTEIRO MS, LPC

Provider Business Mailing Address
First Line	:	1011 SADDLE CLUB WAY
Second Line	:
City	:	PRINCETON
State	:	TX
Zip	:	75407-9774
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6851 VIRGINIA PKWY STE 215
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-5621
Country	:	US
Telephone Number	:	214-577-1736
Fax Number	:

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

Provider Enumeration Date	:	03/08/2021
Last Update Date	:	06/11/2022

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