Shirley Marie Sewell | Stafford, TX • PECOS Search

Shirley Marie Sewell

Counselor

Behavioral Health & Social Service Providers

4915 S Main St Ste 108, Stafford, TX 77477-4601

PECOS Enrollment

Based on the most recent information from CMS, provider Shirley Marie Sewell does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 4:18 PM.

Profile Details

Provider ID
1689799496
Provider Type
Individual
Full Name
Sewell, Shirley Marie
Title
Mrs.
Credential
LPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/20/2007
Last Updated
7/9/2007

Contact Information

Practice Location

4915 S Main St Ste 108, Stafford, TX 77477-4601

(281) 403-1480

Mailing Location

2228 Waterford Village Blvd, Missouri City, TX 77459-1840

(281) 403-1480

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 16252 Texas