Individual provider · Type 1 NPI
Shante L. Mayfield, LPC
Mental Health Counselor · Dallas, TX
NPI number
1104383405
Active
Practice location
2665 Villa Creek Dr Ste 105
Dallas, TX 75234-7356
Other practice locations
- 215 SW Washington St Ste 300, Portland, OR 97204-2639 · (503) 894-7026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 77647 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1104383405
Shante L. Mayfield, LPC's National Provider Identifier is 1104383405, issued on Feb 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Sep 19, 2026.