Provider Demographics
NPI:1699259556
Name:SHELTON REHABILITATION CONSULTING, LLC
Entity type:Organization
Organization Name:SHELTON REHABILITATION CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-282-1772
Mailing Address - Street 1:1032 N CAPITOL AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-4823
Mailing Address - Country:US
Mailing Address - Phone:517-282-1772
Mailing Address - Fax:
Practice Address - Street 1:1032 N CAPITOL AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-4823
Practice Address - Country:US
Practice Address - Phone:517-282-1772
Practice Address - Fax:517-580-3339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-17
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty