Individual
MS. GLORIA KEMP SHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LMFT AAC
Contact information
Practice address
1050 W PIPELINE RD, SUITE 202, HURST, TX 76053
(817) 282-6236
(817) 285-9542
Mailing address
1050 W PIPELINE RD, SUITE 202, HURST, TX 76053
(817) 282-6236
(817) 285-9542
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC09632
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
AAC16931100
TX
106H00000X
Marriage & Family Therapist
LMFT000296042264
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025762801
—
TX
01
—
128544
MHN
TX
Enumeration date
09/22/2006
Last updated
10/12/2010
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