Shaletta Borders
Individual provider Active NPI Pastoral Counselor · Ozark, AL
NPI 1306309398 · NPPES record last updated Apr 8, 2019
Key facts
- NPI
- 1306309398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pastoral Counselor 101YP1600X
- Practice address
- 488 Marvin Parker Rd
Ozark, AL 36360-7204 - Phone
- (336) 316-0462
- NPI assigned
- Apr 8, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor |
101YP1600X | Yes |
Addresses
Primary practice location
488 Marvin Parker Rd
Ozark, AL 36360-7204
Mailing address
488 Marvin Parker Rd
Ozark, AL 36360-7204
Phone (336) 316-0462
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | shalb.enterprises@gmail.com |
Other providers in Ozark, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2019. 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.