Provider Demographics
NPI:1437398518
Name:SHELTON, HOLLI B (LPC)
Entity Type:Individual
Prefix:MISS
First Name:HOLLI
Middle Name:B
Last Name:SHELTON
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 1:501 SOUTHWEST DRIVE STE. A5
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401
Mailing Address - Country:US
Mailing Address - Phone:479-692-3285
Mailing Address - Fax:479-890-5364
Practice Address - Street 1:501 SOUTHWEST DRIVE STE. A5
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401
Practice Address - Country:US
Practice Address - Phone:479-692-3285
Practice Address - Fax:479-890-5364
Is Sole Proprietor?:No
Enumeration Date:2009-02-12
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1306057101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional