Provider Demographics
NPI:1962726661
Name:SHELTON, STEVEN RODNEY (LMSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:RODNEY
Last Name:SHELTON
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:STEVE
Other - Middle Name:
Other - Last Name:SHELTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:324 W MAIN ST
Mailing Address - Street 2:THE RELATIONSHIP CENTER OF MICHIGAN
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-1591
Mailing Address - Country:US
Mailing Address - Phone:810-227-6218
Mailing Address - Fax:810-227-6982
Practice Address - Street 1:324 W MAIN ST
Practice Address - Street 2:THE RELATIONSHIP CENTER OF MICHIGAN
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-1591
Practice Address - Country:US
Practice Address - Phone:810-227-6218
Practice Address - Fax:810-227-6982
Is Sole Proprietor?:No
Enumeration Date:2010-03-24
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010071501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6801007150OtherSTATE OF MICHIGAN, DEPARTMENT OF COMMUNITY HEALTH