Provider Demographics
NPI:1629769963
Name:SHELTON, LLOYD EDWARD (LLMSW)
Entity Type:Individual
Prefix:MR
First Name:LLOYD
Middle Name:EDWARD
Last Name:SHELTON
Suffix:
Gender:M
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:397 MAIN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48111-2625
Mailing Address - Country:US
Mailing Address - Phone:734-770-5195
Mailing Address - Fax:
Practice Address - Street 1:397 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48111-2625
Practice Address - Country:US
Practice Address - Phone:734-770-5195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical