Individual
LENNORA MONIQUE SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 SCOTTS LN # CO9, PHILADELPHIA, PA 19129-1836
(215) 720-4640
Mailing address
122 N PEACH ST, PHILADELPHIA, PA 19139-2626
(215) 796-7818
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH007347
PA
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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