Provider Demographics
NPI:1659018059
Name:DJEBELLI, SHOALEH (LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:SHOALEH
Middle Name:
Last Name:DJEBELLI
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16950 N BAY RD APT 1610
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4246
Mailing Address - Country:US
Mailing Address - Phone:469-735-3083
Mailing Address - Fax:
Practice Address - Street 1:16950 N BAY RD APT 1610
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4246
Practice Address - Country:US
Practice Address - Phone:469-735-3083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health