Provider Demographics
NPI:1396176475
Name:SHELDON, RACHEL NICOLE (LMHC, LPC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:NICOLE
Last Name:SHELDON
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 LINCOLN WAY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-7595
Mailing Address - Country:US
Mailing Address - Phone:515-239-4410
Mailing Address - Fax:515-663-4885
Practice Address - Street 1:100 N 72ND AVE
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-9042
Practice Address - Country:US
Practice Address - Phone:715-301-0267
Practice Address - Fax:844-444-0672
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-27
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001722101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health