Provider Demographics
NPI:1013199207
Name:SHELL, LATINIA MARIE (EDD, LPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:LATINIA
Middle Name:MARIE
Last Name:SHELL
Suffix:
Gender:F
Credentials:EDD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 S PRINCE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-5657
Mailing Address - Country:US
Mailing Address - Phone:717-823-9818
Mailing Address - Fax:717-798-9911
Practice Address - Street 1:447 S PRINCE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-5657
Practice Address - Country:US
Practice Address - Phone:717-823-9818
Practice Address - Fax:717-798-9911
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004444101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional