Lorie Wagner Shelton, BA, MA
Individual provider Active NPI Mental Health Counselor · Pfafftown, NC
NPI 1164259693 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1164259693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- A20556 (NC)
- Practice address
- 7165 Reynolda Rd
Pfafftown, NC 27040-8417 - Phone
- (336) 406-8031
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A20556 | NC | MD | Mental Health Counselor |
| CTB-2024-0661 | NM | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CTB-2024-0661 | NM | |
| Mental Health Counselor | 101YM0800X | A20556 | NC | Yes |
Addresses
Primary practice location
7165 Reynolda Rd
Pfafftown, NC 27040-8417
Mailing address
7165 Reynolda Rd
Pfafftown, NC 27040-8417
Phone (336) 406-8031
Other providers in Pfafftown, NC
- Pediatric Therapyworks, Inc
- Melanie Piper
- Najaila Polite
- Megan Rose
- Jared Ruddy
- Cristina Jane Sorensen
- John Edward Stewart
- Alex J Stovall
- Sherita Grace Eastmon Sutton
- The Speech Lady, PLLC
All providers in Pfafftown, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.