Individual
DR. SIMONE ELLOIE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED. D
Contact information
Practice address
18291 MANCHAC PLACE DR, PRAIRIEVILLE, LA 70769-3355
(225) 252-3655
Mailing address
18291 MANCHAC PLACE DR, PRAIRIEVILLE, LA 70769-3355
(225) 252-3655
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7616
LA
101YM0800X
Mental Health Counselor
Primary
7616
LA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
7616
LA
101YS0200X
School Counselor
7616
LA
171M00000X
Case Manager/Care Coordinator
—
LA
171M00000X
Case Manager/Care Coordinator
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
7616
LA
251S00000X
Community/Behavioral Health Agency
7616
LA
261QD1600X
Developmental Disabilities Clinic/Center
7616
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
7616
LA
Other
Enumeration date
07/27/2017
Last updated
12/18/2023
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