Provider Information for 1629252093
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. DEBRA SHELTON LPC, MHSP
Sex: Female
NPI: 1629252093
Last Updated: 2018-07-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1629252093 | ||||||||
| Enumeration Date | 2007-12-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 190 W SOUTH ST HERNANDO, MS 38632-2245 United States Phone: 901-500-8865 | Fax: | ||||||||
| Primary Practice Address | 190 W SOUTH ST HERNANDO, MS 38632 United States Phone: 662-214-9912 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|