Provider Demographics
NPI:1083081673
Name:SHELL, ASHLEY L (LMFT, LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:L
Last Name:SHELL
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 TIMBERLOCH PL STE 100
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1103
Mailing Address - Country:US
Mailing Address - Phone:281-210-7393
Mailing Address - Fax:
Practice Address - Street 1:2203 TIMBERLOCH PL STE 100
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1103
Practice Address - Country:US
Practice Address - Phone:281-210-7393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69187101YP2500X
TX201746106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional