Provider Demographics
NPI:1366775041
Name:SHAVERS 'PLUS' COUNSELING SOLUTIONS, LLC
Entity type:Organization
Organization Name:SHAVERS 'PLUS' COUNSELING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DOLORES
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHAVERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-660-9515
Mailing Address - Street 1:8035 E R L THORNTON FWY
Mailing Address - Street 2:SUITE 522
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-7018
Mailing Address - Country:US
Mailing Address - Phone:214-660-9515
Mailing Address - Fax:146-932-7263
Practice Address - Street 1:8035 E R L THORNTON FWY
Practice Address - Street 2:SUITE 522
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7018
Practice Address - Country:US
Practice Address - Phone:214-660-9515
Practice Address - Fax:146-932-7263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06095101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX095561903Medicaid
TX9069LCOtherBLUE CROSSS BLUE SHIELD