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NPI Code Detail

MEDICARE: SHAGAYLA L. DECENA LPC

MEDICARE:   SHAGAYLA L. DECENA  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
1101YP2500XProfessional Counselor76538TX

General Provider Information

NPI Number : 1053955807
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAGAYLA L. DECENA LPC
Provider Business Mailing Address
First Line : 2109 CANNON DR
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-3478
Country : US
Telephone Number : 214-697-7518
Fax Number :
Provider Business Practice Location Address
First Line : 915 BROOKMERE DR
Second Line :
City : DALLAS
State : TX
Zip : 75216-6128
Country : US
Telephone Number : 214-932-7049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2019
Last Update Date : 12/15/2023

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Directions to “ SHAGAYLA L. DECENA LPC” Practice Location

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