Lisa Patrice Shelton in Winston Salem - Mental Health
Lisa Patrice Shelton - NPI 1104090745
Lisa Patrice Shelton is a Mental Health in Winston Salem, North Carolina. Lisa Patrice Shelton practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Lisa Patrice Shelton is 1104090745. The last update date is 2023-03-21.
Lisa Patrice Shelton's current location address is 250 Executive Park Blvd Ste 120, Winston Salem, North Carolina. You can contact this provider via phone number 3367702477. The mailing address for Lisa Patrice Shelton is 250 Executive Park Blvd Ste 120, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Patrice Shelton |
|---|---|
| Address | 250 Executive Park Blvd Ste 120, Winston Salem, North Carolina |
| Phone Number | 3367702477 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS |
NPI Number Detail
| NPI Number | 1104090745 |
|---|---|
| Provider Enumeration Date | 2008-04-15 |
| Last Updated Date | 2023-03-21 |
Provider Mailing Address Detail
| Address | 250 Executive Park Blvd Ste 120 |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271031534 |
| Phone Number | 3367702477 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 15221 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39168700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lisa Patrice Shelton by the Centers for Medicare & Medicaid Services?
The Lisa Patrice Shelton has been assigned the NPI (National Provider Identifier) 1104090745 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Lisa Patrice Shelton is physically located?
The Lisa Patrice Shelton is physically situated at the following address: 250 Executive Park Blvd Ste 120, Winston Salem, NC, 271031534.
What is the area of specialization for Lisa Patrice Shelton, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa Patrice Shelton is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Lisa Patrice Shelton receive the assignment of its 1104090745 from the Centers for Medicare & Medicaid Services?
The Lisa Patrice Shelton was issued its 1104090745 by the Centers for Medicare & Medicaid Services on 2008-04-15.
As of what date was the information regarding Lisa Patrice Shelton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa Patrice Shelton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-21.
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