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Lisa Patrice Shelton, MS
Mental Health Counselor in Winston Salem, North Carolina
NPI 1104090745

Lisa Patrice Shelton is a Mental Health Counselor based in Greensboro, NC and is specialized in Mental Health. Lisa Patrice Shelton practices in Winston Salem, NC and has the professional credentials of MS. The NPI Number for Lisa Patrice Shelton is 1104090745 and holds a License No. 17438 (North Carolina).

The current practice location address for Lisa Patrice Shelton is 250 Executive Park Blvd Ste 120, Winston Salem, NC and can be reached out via phone at 336-770-2477.

Location: 250 Executive Park Blvd Ste 120, Winston Salem, NC, 27405-4899
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104090745
Provider Name
Lisa Patrice Shelton
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
250 Executive Park Blvd Ste 120, Winston Salem, NC, 27405-4899
Phone Number
336-770-2477
Fax Number
Provider Enumeration Date
04/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39168700 05 WI
institution
Provider Business Practice Location Address Details
Address
250 Executive Park Blvd Ste 120
City
Winston Salem
State
North Carolina
Zip
27103-1534
Phone Number
336-770-2477
Fax Number
person
Provider Business Mailing Address Details
Address
250 Executive Park Blvd Ste 120
City
Winston Salem
State
North Carolina
Zip
27103-1534
Phone Number
336-770-2477
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
180.008438 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
15221 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
25760 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
17438 (Illinois)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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