Provider Demographics
NPI:1780257840
Name:MSHANA, ATUPELE (LPC - ASSOCIATE)
Entity type:Individual
Prefix:
First Name:ATUPELE
Middle Name:
Last Name:MSHANA
Suffix:
Gender:F
Credentials:LPC - ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 DASHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407-5661
Mailing Address - Country:US
Mailing Address - Phone:214-604-1726
Mailing Address - Fax:
Practice Address - Street 1:104 W KAUFMAN ST
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-3032
Practice Address - Country:US
Practice Address - Phone:972-693-4293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-17
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
TX98939101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician