Provider Demographics
NPI:1568042570
Name:RELFORD, SHUKIA NICOLE (MA, LCDC-I)
Entity Type:Individual
Prefix:MRS
First Name:SHUKIA
Middle Name:NICOLE
Last Name:RELFORD
Suffix:
Gender:F
Credentials:MA, LCDC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7955 BOYT RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77713-2961
Mailing Address - Country:US
Mailing Address - Phone:409-273-4172
Mailing Address - Fax:
Practice Address - Street 1:2295 N 10TH ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77703-5013
Practice Address - Country:US
Practice Address - Phone:409-293-3707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator