Provider Demographics
NPI:1932696804
Name:SHELBY KNAPPLE COUNSELING
Entity Type:Organization
Organization Name:SHELBY KNAPPLE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:
Authorized Official - Last Name:KNAPPLE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:479-208-2133
Mailing Address - Street 1:16135 HIGHWAY 71 S
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72936-7218
Mailing Address - Country:US
Mailing Address - Phone:479-996-5433
Mailing Address - Fax:479-996-0438
Practice Address - Street 1:16135 HIGHWAY 71 S
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:AR
Practice Address - Zip Code:72936-7218
Practice Address - Country:US
Practice Address - Phone:479-996-5433
Practice Address - Fax:479-996-0438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1711318101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty