Individual provider · Type 1 NPI
Shantae Elliott
Professional Counselor · Upper Marlboro, MD
NPI number
1760865091
Active
Practice location
3037 Lemonade Ln
Upper Marlboro, MD 20774-2736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LGP6351 (MD) |
Professional Counselor: Definition to come...
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About NPI 1760865091
Shantae Elliott's National Provider Identifier is 1760865091, issued on Jul 6, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Upper Marlboro, MD. The record was last updated on Feb 27, 2026.