Healthcare Provider Details

I. General information

NPI: 1265273643
Provider Name (Legal Business Name): SHAUNNA UZEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2024
Last Update Date: 06/01/2024
Certification Date: 06/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 ROBLES WAY
BURLESON TX
76028-2396
US

IV. Provider business mailing address

933 ROBLES WAY
BURLESON TX
76028-2396
US

V. Phone/Fax

Practice location:
  • Phone: 817-456-6838
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number92262
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: