Provider Demographics
NPI:1063205839
Name:SMITH, SHIMYA ANYA (LPC-A)
Entity type:Individual
Prefix:
First Name:SHIMYA
Middle Name:ANYA
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 ARABELLA LN
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-2949
Mailing Address - Country:US
Mailing Address - Phone:347-489-1801
Mailing Address - Fax:
Practice Address - Street 1:6371 PRESTON RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7979
Practice Address - Country:US
Practice Address - Phone:215-556-0996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98517101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health