Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Addijackllc

Organization Mental Health Counselor · NPI 1972466753

Addijackllc provides Mental Health Counselor services in Shady Shores, Texas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

145 Chaparral Est
Shady Shores, TX 76208-5735
Phone: (940) 595-3778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1972466753
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Menzie — Owner And Therapist · (940) 595-3778
NPI enumeratedDecember 8, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address145 Chaparral Est, Shady Shores, TX 76208-5735