SHAUNDA RENA PETTY
NPI 1447145453
Counselor - Mental Health in Tyler, TX

Q: What is Shaunda Petty's NPI number?

The NPI number for Shaunda Petty is 1447145453. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Q: What is Shaunda Petty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Shaunda Petty was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 10, 2025

719 W FRONT ST STE 262, TYLER, TX 75702(903) 636-3868 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shaunda Rena Petty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAUNDA RENA PETTY (NPI 1447145453) is an individual mental health provider in Tyler, Texas, licensed in Texas (96260) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1447145453

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSHAUNDA RENA PETTY

Location Address719 W FRONT ST STE 262Tyler, TX 75702-7975

Mailing Address719 W Front St Ste 262Tyler, TX 75702-7975 · (903) 636-3868

Phone(903) 636-3868

Sole ProprietorYes

Enumeration DateJune 10, 2025

NPPES CertifiedJune 10, 2025

✔ NPI 1447145453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in TX · 96260

719 W FRONT ST STE 262, Tyler, TX 75702

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaunda Petty's NPI number?

The NPI number for Shaunda Petty is 1447145453. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Shaunda Petty located?

Shaunda Petty practices at 719 W Front St Ste 262, Tyler, TX 75702. The listed phone number is (903) 636-3868.

What is Shaunda Petty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shaunda Petty was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.