Provider Demographics
NPI:1083348734
Name:JAMES-PERELION, SHELLY-ANN M (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SHELLY-ANN
Middle Name:M
Last Name:JAMES-PERELION
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 1:605 POST OAK RD
Mailing Address - Street 2:
Mailing Address - City:BELLVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77418-9676
Mailing Address - Country:US
Mailing Address - Phone:183-221-2400
Mailing Address - Fax:
Practice Address - Street 1:701 CHURCH ST
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-4168
Practice Address - Country:US
Practice Address - Phone:832-212-4001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-10
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69934101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health