MEDICARE: SONYA L SHEPHERD

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
1	101YP2500X	Professional Counselor	93643	TX

General Provider Information

NPI Number	:	1215885009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONYA L SHEPHERD

Provider Business Mailing Address
First Line	:	PO BOX 840237
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77284-0237
Country	:	US
Telephone Number	:	832-717-7166
Fax Number	:

Provider Business Practice Location Address
First Line	:	8900 EASTLOCH DR STE 235
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-2341
Country	:	US
Telephone Number	:	832-717-7166
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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