Provider Demographics
NPI:1528815735
Name:SHAKOOR, DANIA
Entity type:Individual
Prefix:
First Name:DANIA
Middle Name:
Last Name:SHAKOOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 EMBERCREST DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4118
Mailing Address - Country:US
Mailing Address - Phone:972-352-8017
Mailing Address - Fax:
Practice Address - Street 1:2007 N COLLINS BLVD STE 301
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2666
Practice Address - Country:US
Practice Address - Phone:469-930-0171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-04
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94585101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health