Provider Demographics
NPI:1972330991
Name:SHELL, SARAH LAUREN (LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LAUREN
Last Name:SHELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:SHELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1949 CAPLES DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-1049
Mailing Address - Country:US
Mailing Address - Phone:931-309-8696
Mailing Address - Fax:
Practice Address - Street 1:1810 JOHN R ST
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-2981
Practice Address - Country:US
Practice Address - Phone:256-826-2913
Practice Address - Fax:256-826-2913
Is Sole Proprietor?:No
Enumeration Date:2024-09-14
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL04963101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health