Provider Demographics
NPI:1558535674
Name:WEILERT, SHELLEY L (MS, LPC, AAPS)
Entity Type:Individual
Prefix:
First Name:SHELLEY
Middle Name:L
Last Name:WEILERT
Suffix:
Gender:F
Credentials:MS, LPC, AAPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2604 GENERAL HAYS RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2256
Mailing Address - Country:US
Mailing Address - Phone:785-628-0550
Mailing Address - Fax:
Practice Address - Street 1:2604 GENERAL HAYS RD
Practice Address - Street 2:SUITE B
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2256
Practice Address - Country:US
Practice Address - Phone:785-628-0550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1968101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health