Individual
MRS. LISA EVETTE HARRELL SHELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP-A, QMHP-C
Contact information
Practice address
323 ELMWOOD CT, VIRGINIA BEACH, VA 23454-3202
(757) 201-2302
Mailing address
323 ELMWOOD CT, VIRGINIA BEACH, VA 23454-3202
(757) 201-2302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0732005792
VA
101YM0800X
Mental Health Counselor
0733005430
VA
103T00000X
Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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