Shelby Bethel, LPC-A
Individual provider Active NPI Professional Counselor · Dayville, CT
NPI 1700628674 · NPPES record last updated Jun 11, 2024
Key facts
- NPI
- 1700628674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 7398 (CT)
- Practice address
- 1007 N Main St
Dayville, CT 06241-2170 - Phone
- (860) 774-2020
- Fax
- (860) 774-0826
- NPI assigned
- Jun 11, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7398 | CT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7398 | CT | Yes |
Addresses
Primary practice location
1007 N Main St
Dayville, CT 06241-2170
Mailing address
1007 N Main St
Dayville, CT 06241-2170
Phone (860) 774-2020
Other providers in Dayville, CT
- Isabel Barrett
- Madison Rae Belanger
- Debra Henriette Benveniste
- Judith Marie Bergeron
- Julie Bernier
- Breanna Bohle
- Cathy Boisvert
- Jayme Faye Boling
- Sasha J Bonilla
- William L Bourque
All providers in Dayville, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 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.