Provider Demographics
NPI:1003218710
Name:BEST, SHELLY LAVONNE (LCSW, MFT, CRTC)
Entity Type:Individual
Prefix:DR
First Name:SHELLY
Middle Name:LAVONNE
Last Name:BEST
Suffix:
Gender:F
Credentials:LCSW, MFT, CRTC
Other - Prefix:DR
Other - First Name:SHELLY
Other - Middle Name:LAVONNE
Other - Last Name:BEST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT, CRTC
Mailing Address - Street 1:1070 MONTGOMERY RD # 2206
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-7420
Mailing Address - Country:US
Mailing Address - Phone:314-277-4936
Mailing Address - Fax:
Practice Address - Street 1:278 SEMORAN COMMERCE PL
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703
Practice Address - Country:US
Practice Address - Phone:314-277-4936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-24
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO472087213101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO472087213OtherTRICARE (CH002)
MO472087213OtherBLUE CROSS BLUE SHIELD OF MO-ANTHEM (00241)
MO472087213OtherCAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) (SX065)
MO472087213OtherUNITED HEALTHCARE MILITARY AND VETERANS (99726)
MO1003218710Medicaid
MO472087213OtherUNICARE (80314)
MO472087213OtherCIGNA BEHAVIORAL HEALTH (SX071) (CIGBH)
MO472087213OtherHUMANA CHOICE CARE PPO (61101)
MO472087213OtherANTHEM OMHS (37331)
MO472087213OtherCOVENTRY HEALTHCARE OF MISSOURI 25133
MO472087213OtherMANAGED HEALTH NETWORK-MHN (22771)
MO472087213OtherCIGNA PRIVATE (62308)
MO472087213Medicaid
MO472087213OtherMEDICAID MISSOURI
MO472087213OtherUBH-UNITED BEHAVIORAL HEALTH-RIOS (87726)
MO472087213OtherAARP-MEDICARE SUPPLEMENT-UNITED HEALTHCARE INSURANCE (36273
MO472087213OtherACCESS BEHAVIORAL CARE (COACC)
MO1003218710Medicaid
MO1003218710Medicare Oscar/Certification
MO1003218710Medicare PIN
MO472087213OtherCOVENTRY HEALTHCARE OF MISSOURI 25133
MO472087213OtherCIGNA BEHAVIORAL HEALTH (SX071) (CIGBH)
MO472087213Medicare UPIN