Provider Demographics
NPI:1386240976
Name:SYKES, SHELLBY (MS)
Entity type:Individual
Prefix:
First Name:SHELLBY
Middle Name:
Last Name:SYKES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:SHELLBY
Other - Middle Name:M
Other - Last Name:SYKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:5915 NUEVO LEON ST UNIT 6
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-4108
Mailing Address - Country:US
Mailing Address - Phone:702-336-6383
Mailing Address - Fax:
Practice Address - Street 1:5915 NUEVO LEON ST UNIT 6
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-4108
Practice Address - Country:US
Practice Address - Phone:702-336-6383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty