Misty Michelle Shultz, LPC
Counselor, Professional in Tyler, TX. Individual provider (NPI-1).
NPI number1114281185
StatusActive
Last updated in NPPESJul 3, 2025
Details
- NPI
- 1114281185
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Misty Michelle Shultz
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2012
- Certification date
- Jul 3, 2025
- Last updated
- Jul 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 65338 | TX | Yes |
Practice location
1940 Stonehill DrTyler, TX 75703-0101
Phone 817-526-4401
Mailing address
1940 Stonehill DrTyler, TX 75703-0101
Phone 817-526-4401
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