MR. MATTHEW J SHORT M.S., LPC-ASSOCIATE
NPI 1366203887
Counselor - Professional in Lubbock, TX
Active since January 22, 2024
About Mr. Matthew J Short M.s., Lpc-associate NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MATTHEW J SHORT M.S., LPC-ASSOCIATE (NPI 1366203887) is an individual professional provider in Lubbock, Texas, licensed in Texas (93848) and active in the NPI registry since January 2024.
NPPES Registry Identity
NPI1366203887
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MATTHEW J SHORTCredential: M.S., LPC-ASSOCIATE
Location Address4601 50TH ST STE 209Lubbock, TX 79414-3515
Mailing Address2820 57th StLubbock, TX 79413-5607 · (806) 787-0090
Phone(806) 787-0090
Sole ProprietorYes
Enumeration DateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1366203887 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 93848
4601 50TH ST STE 209, Lubbock, TX 79414
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366203887, enumerated as an "individual" on January 22, 2024.
The provider is located at 4601 50TH ST STE 209 LUBBOCK, TX 79414 and the phone number is (806) 787-0090.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
