Healthcare Provider Details

I. General information

NPI: 1700718764
Provider Name (Legal Business Name): MICHAEL SHANE MAERHYS M.A., LPC, CCATP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4365 COUNTY ROAD 278
ZEPHYR TX
76890-3851
US

IV. Provider business mailing address

5900 BALCONES DR # 12954
AUSTIN TX
78731-4257
US

V. Phone/Fax

Practice location:
  • Phone: 214-807-7480
  • Fax:
Mailing address:
  • Phone: 254-214-9128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number90519
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: