Shantik Alicia Cole, LPC
Individual provider Active NPI Mental Health Counselor · Haslet, TX
NPI 1811530280 · NPPES record last updated Oct 18, 2019
Key facts
- NPI
- 1811530280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 75258 (TX)
- Practice address
- 11841 Toppell TRL
Haslet, TX 76052-1509 - Phone
- (281) 546-3965
- NPI assigned
- Oct 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75258 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillside Counseling LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 75258 | TX | Yes |
Addresses
Primary practice location
11841 Toppell TRL
Haslet, TX 76052-1509
Mailing address
11841 Toppell TRL
Haslet, TX 76052-1509
Phone (281) 546-3965
Other providers in Haslet, TX
- Mello-Dee Capps
- Stephanie Helen Carey
- Harper Carfa
- Madison Rae Chapman
- Tyronda Clark
- Todd Allen Colichia
- Jessica Collette
- Lilianna T Contreras
- Coppell Spine & Sports Rehab Limited Partnership
- Alexandre Costet
All providers in Haslet, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.