Provider Demographics
NPI:1851668743
Name:WHITTINGTON, SHELLEY FIELD (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SHELLEY
Middle Name:FIELD
Last Name:WHITTINGTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5641 SMU BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5078
Mailing Address - Country:US
Mailing Address - Phone:214-502-7194
Mailing Address - Fax:
Practice Address - Street 1:5641 SMU BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5078
Practice Address - Country:US
Practice Address - Phone:214-502-7194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2013-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58655101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor