Provider Demographics
NPI:1790462463
Name:ROBIN SHELTON, LCSW, PLLC
Entity Type:Organization
Organization Name:ROBIN SHELTON, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:757-335-1541
Mailing Address - Street 1:PO BOX 1094
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23327-1094
Mailing Address - Country:US
Mailing Address - Phone:757-335-1541
Mailing Address - Fax:
Practice Address - Street 1:213 HABITAT XING
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4014
Practice Address - Country:US
Practice Address - Phone:757-335-1541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty