Provider Demographics
NPI:1295249043
Name:CRAMPTON, SHELLEY RENAE (MA, LPC)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:RENAE
Last Name:CRAMPTON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:SHELLEY
Other - Middle Name:RENAE
Other - Last Name:STUBBLEFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1420 TWIN OAKS ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76302-2723
Mailing Address - Country:US
Mailing Address - Phone:940-696-0181
Mailing Address - Fax:
Practice Address - Street 1:1420 TWIN OAKS
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76302
Practice Address - Country:US
Practice Address - Phone:940-696-0181
Practice Address - Fax:940-696-5692
Is Sole Proprietor?:No
Enumeration Date:2017-11-30
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76192101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor