Organization
SHELLA SCULLY-HILBERT LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLA SCULLY-HILBERT LCSW (OWNER)
(727) 295-5896
Entity
Organization
Contact information
Practice address
4244 CENTRAL AVE, SAINT PETERSBURG, FL 33711-1140
(727) 295-5896
Mailing address
1417 26TH ST N, SAINT PETERSBURG, FL 33713-5613
(727) 295-5836
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW15174
STATE OF FL - DEPT OF HEALTH
FL
Enumeration date
06/15/2020
Last updated
06/15/2020
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