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NPI Code Detail

MEDICARE: MARILYN KAY SHROYER LPC

MEDICARE:   MARILYN KAY SHROYER  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 Counselor10420TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12279817OTHERTXCIGNA BEHARIORAL HEALTH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
484802LOTHERTXBLUE CROSS BLUE SHIELD
5270800OTHERTXCOMPSYCH
6831254000OTHERTXMAGELLAN

General Provider Information

NPI Number : 1699889691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN KAY SHROYER LPC
Provider Business Mailing Address
First Line : 124 CALDWELL ST
Second Line :
City : BAYTOWN
State : TX
Zip : 77520-1210
Country : US
Telephone Number : 281-424-9100
Fax Number :
Provider Business Practice Location Address
First Line : 1209 DECKER DR STE 201A
Second Line :
City : BAYTOWN
State : TX
Zip : 77520-4444
Country : US
Telephone Number : 281-793-2151
Fax Number : 281-424-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 05/22/2024

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Directions to “ MARILYN KAY SHROYER LPC” Practice Location

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