Provider Demographics
NPI:1053738955
Name:SHYRA JONES COUNSELING SERVICES
Entity type:Organization
Organization Name:SHYRA JONES COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHYRA
Authorized Official - Middle Name:NICHELLE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:254-681-6702
Mailing Address - Street 1:4708 JOHN DAVID DR.
Mailing Address - Street 2:APT. B
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549
Mailing Address - Country:US
Mailing Address - Phone:254-681-6702
Mailing Address - Fax:888-349-1644
Practice Address - Street 1:4708 JOHN DAVID DR
Practice Address - Street 2:APT. B
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-2664
Practice Address - Country:US
Practice Address - Phone:254-681-6702
Practice Address - Fax:888-349-1644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-28
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66025251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health