Organization
SHANNON M MEKULY LPC ATR P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MEKULY (OWNER)
(512) 779-4179
Entity
Organization
Contact information
Practice address
2511 E 6TH ST STE B, AUSTIN, TX 78702-0047
(512) 779-4179
Mailing address
1406 BERKSHIRE DR, AUSTIN, TX 78723-1839
(512) 779-4179
(512) 541-4094
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3336471-01
—
TX
Enumeration date
10/29/2018
Last updated
10/29/2018
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