Provider Demographics
NPI:1144007949
Name:DIAWAKU ONYEBUCHI, SHAUNA MATONDO LAYANA (LPC)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:MATONDO LAYANA
Last Name:DIAWAKU ONYEBUCHI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:MATONDO LAYANA
Other - Last Name:DIAWAKU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4011 BURNET RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-3626
Mailing Address - Country:US
Mailing Address - Phone:817-564-4610
Mailing Address - Fax:
Practice Address - Street 1:4011 BURNET RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-3626
Practice Address - Country:US
Practice Address - Phone:817-564-4610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81142101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health