Provider Demographics
NPI:1881471209
Name:SHIELL, OKSANA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:OKSANA
Middle Name:
Last Name:SHIELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 SW JOSHUA AVE
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72713-8322
Mailing Address - Country:US
Mailing Address - Phone:408-506-9109
Mailing Address - Fax:
Practice Address - Street 1:2906 SW JOSHUA AVE
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72713-8322
Practice Address - Country:US
Practice Address - Phone:408-506-9109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist