MEDICARE: MS. SHEENA MARIE POOLE

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	106H00000X	Marriage & Family Therapist	MF001735	PA
2	106H00000X	Marriage & Family Therapist	203915	TX

General Provider Information

NPI Number	:	1518629377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHEENA MARIE POOLE

Provider Business Mailing Address
First Line	:	5014 FJORD CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77066-1056
Country	:	US
Telephone Number	:	760-362-2847
Fax Number	:

Provider Business Practice Location Address
First Line	:	5014 FJORD CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77066-1056
Country	:	US
Telephone Number	:	832-263-1050
Fax Number	:

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

Provider Enumeration Date	:	10/08/2021
Last Update Date	:	06/13/2025

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