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

Shaunda Rena Petty

Individual provider Mental Health Counselor · NPI 1447145453

Shaunda Rena Petty is a Mental Health Counselor in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2025

Practice location Address checks out

719 W Frnt ST Ste 262
Tyler, TX 75702-7975
Phone: (903) 636-3868
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 96260 (TX)

Record details

NPI number1447145453
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 10, 2025
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

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