MEDICARE: SHELLEY MCCAUL-PARENT, PLLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1619584414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHELLEY MCCAUL-PARENT, PLLC

Provider Business Mailing Address
First Line	:	15527 SAINT CLOUD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-3522
Country	:	US
Telephone Number	:	832-466-1505
Fax Number	:

Provider Business Practice Location Address
First Line	:	15527 SAINT CLOUD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-3522
Country	:	US
Telephone Number	:	832-466-1505
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	MRS. SHELLEY MCCAUL-PARENT
Credential	:	LPC
Telephone Number	:	832-466-1505

Provider Enumeration Date	:	09/25/2020
Last Update Date	:	09/25/2020

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