Shields, Adrienne

Shields, Adrienne is an sole proprietor health care provider with primary practice located at 3833 S Texas Ave Ste 104 , Bryan TX 77802-4000. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Shields, Adrienne can be contacted via phone (979) 315-4705.

Contact Information

Primary practice address
3833 S Texas Ave Ste 104 Bryan TX 77802-4000
Phone: (979) 315-4705
Fax: (979) 431-4963
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 17668 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1083662480
LBN Legal business name Shields, Adrienne
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Jun 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083662480 NPPES
Texas MEDICAID 1525537-02

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