Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Addijackllc

Organization Mental Health Counselor · NPI 1972466753

Addijackllc is a Mental Health Counselor 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