Healthcare Provider Details

I. General information

NPI: 1932023843
Provider Name (Legal Business Name): ANNA SHEARN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 AUSTIN AVE STE 300
WACO TX
76701-2122
US

IV. Provider business mailing address

3124 ZABEL DR
LORENA TX
76655-3939
US

V. Phone/Fax

Practice location:
  • Phone: 254-268-8848
  • Fax:
Mailing address:
  • Phone: 817-914-7806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number93346
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: