Healthcare Provider Details

I. General information

NPI: 1598231987
Provider Name (Legal Business Name): D'SHWN CHRISTINE YEAGER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: D'SHAWN MCCANE LPC

II. Dates (important events)

Enumeration Date: 10/23/2018
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8302 INDIANA AVE
LUBBOCK TX
79423-2835
US

IV. Provider business mailing address

4014 94TH ST
LUBBOCK TX
79423-3930
US

V. Phone/Fax

Practice location:
  • Phone: 832-723-5906
  • Fax:
Mailing address:
  • Phone: 832-723-5906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number80514
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: