Individual provider · Type 1 NPI

Lisa Patrice Shelton, MS

Mental Health Counselor · Winston Salem, NC

NPI number 1104090745 Active

Practice location

250 Executive Park Blvd Ste 120
Winston Salem, NC 27103-1534

Mailing address

132 Queensberry Ct
Greensboro, NC 27405-4899

Other practice locations

  • 1132 N Church St, Greensboro, NC 27401-1039 · (877) 876-3783
  • 132 Queensberry Ct, Greensboro, NC 27405-4899 · (224) 735-1210

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X17438 (IL)
Addiction (Substance Use Disorder) Counselor 101YA0400X25760 (NC)
Mental Health Counselor 101YM0800X15221 (NC)
Professional Counselor 101YP2500X180.008438 (IL)
Marriage & Family Therapist 106H00000X180.008438 (IL)
Mental Health Counselor Primary 101YM0800XS15221 (NC)

Mental Health Counselor: Definition to come...

12 other providers at this address

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About NPI 1104090745

Lisa Patrice Shelton, MS's National Provider Identifier is 1104090745, issued on Apr 15, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 21, 2023.