Provider Demographics
NPI:1376318634
Name:NAGLE, SHELBY BRIANA (LCMHCA)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:BRIANA
Last Name:NAGLE
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 WOODFIN PL STE 404
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2441
Mailing Address - Country:US
Mailing Address - Phone:610-790-9704
Mailing Address - Fax:
Practice Address - Street 1:70 WOODFIN PL STE 404
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2441
Practice Address - Country:US
Practice Address - Phone:610-790-9704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18817101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health