Individual
SHELBY V ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
126 RUE COLETTE, THIBODAUX, LA 70301-5628
(985) 625-0023
Mailing address
242 KLEINPETER DR, THIBODAUX, LA 70301-7816
(985) 228-2651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC9733
LA
101YM0800X
Mental Health Counselor
Primary
PLC9733
LA
Other
Enumeration date
09/13/2022
Last updated
01/27/2026
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