Provider Demographics
NPI:1902355290
Name:HENSLEY, SHEILA DAWN (LPC)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:DAWN
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1668 KELLER PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3711
Mailing Address - Country:US
Mailing Address - Phone:817-431-8900
Mailing Address - Fax:817-431-8920
Practice Address - Street 1:1668 KELLER PKWY STE 200
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3711
Practice Address - Country:US
Practice Address - Phone:817-431-8900
Practice Address - Fax:817-431-8920
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72674101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional