Provider Demographics
NPI:1497075675
Name:MICHAELS, SHELBIE ROSE (LPC)
Entity Type:Individual
Prefix:
First Name:SHELBIE
Middle Name:ROSE
Last Name:MICHAELS
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 1:801 E PLANO PKWY STE 130
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-6859
Mailing Address - Country:US
Mailing Address - Phone:469-626-1001
Mailing Address - Fax:972-502-9202
Practice Address - Street 1:801 E PLANO PKWY STE 130
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-6859
Practice Address - Country:US
Practice Address - Phone:469-626-1001
Practice Address - Fax:972-502-9202
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64008101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX215046808Medicaid