Shunta Monique Antwi, LPC
Individual provider Active NPI Professional Counselor · League City, TX
NPI 1972834646 · NPPES record last updated Jan 20, 2010
Key facts
- NPI
- 1972834646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 59441 (TX)
- Practice address
- 2012 Lake Landing Dr
League City, TX 77573-7801 - Phone
- (281) 785-8115
- NPI assigned
- Jan 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 59441 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 59441 | TX | Yes |
Addresses
Primary practice location
2012 Lake Landing Dr
League City, TX 77573-7801
Mailing address
2012 Lake Landing Drive
League City, TX 77573
Phone (281) 785-8115
Other providers in League City, TX
- Jennifer Dittrich Anderson
- Justin Michael Anderson
- Gretchen L Andrew
- Regina M Andrews-Duarte
- Jimmie Gail Andrews-Marsh
- Stephen Antwi
- Ap Therapy LLC
- Amanda Aparicio
- Apm Outreach, Inc
- Aqua Dialysis League City, LLC
All providers in League City, TX · Professional 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 Jan 20, 2010. 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.