Provider Demographics
NPI:1003195397
Name:FREY, SHELIA WILTZ (LPC)
Entity Type:Individual
Prefix:
First Name:SHELIA
Middle Name:WILTZ
Last Name:FREY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5439 ROYAL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-3040
Mailing Address - Country:US
Mailing Address - Phone:504-328-0774
Mailing Address - Fax:504-248-1583
Practice Address - Street 1:8470 MORRISON RD STE A
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-1913
Practice Address - Country:US
Practice Address - Phone:504-248-1581
Practice Address - Fax:504-248-1583
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5292101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional