SUSAN SHELTON


Address: 7 Vine Ave Ne, Fort Walton Beach, FL 32548-5070
Phone: 8506821234

SUSAN SHELTON (NPI# 1346644804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346644804
Entity Type Individual
Full Name SUSAN SHELTON
Credential LMHC
Practice Address 7 Vine Ave Ne
Fort Walton Beach
FL 32548-5070
Mailing Address 137 Hospital Dr Ne
Fort Walton Beach
FL 32548-5063
Practice Telephone 8506821234
Practice Fax Number 8504608348
Mailing Telephone 8508337500
Mailing Fax Number 8508338528
Enumeration Date 2014-10-13
Last Update Date 2019-08-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH12890 FL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
259 E Oakdale Ave, Crestview, FL 325393547 5068212348 8504608348

Other Providers SUSAN SHELTON

NPI Name Taxonomy Address Enumeration
1346558343 Susan Kay Shelton Physical Therapy Assistant 17510 Hill Way, Lake Oswego, OR 97035-5414 2010-09-24
1093857492 Susan L Shelton Acupuncturist 4814 W Glendale Ave, Glendale, AZ 85301-2734 2007-02-13
1467062091 Susan Shelton Technician 3500 Lakeside Ct Ste 145, Reno, NV 89509-4866 2020-08-07
1093094898 Susan Millette Shelton Counselor 208 N 2nd St, Hugo, OK 74743-3854 2011-08-10
1295876050 Susan B. Shelton Psychiatry & Neurology 27 Lenox Pointe Ne, Atlanta, GA 30324-3172 2007-02-12
1710041363 Susan Sigman Shelton Registered Nurse 201 Government Cir, Greenville, NC 27834-8198 2006-12-20
1053412296 Susan Elaine Shelton Social Worker 2401 W Main St, Marion, IL 62959-1188 2006-09-26
1326096066 Susan S Shelton Physician Assistant 262 Danny Thomas Pl, Memphis, TN 38105-3678 2006-05-05
1003880873 Susan Shelton Nurse Practitioner 1881 Pisgah Dr, Building A, Hendersonville, NC 28791-3760 2006-02-16
1609847474 Susan N. Shelton Dietitian, Registered 250 Wood Rd, Annapolis, MD 21402-1257 2006-01-30

Office Location

Street Address 7 VINE AVE NE
City FORT WALTON BEACH
State FL
Zip Code 32548-5070

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245253558 Victoria E Miller Social Worker 7 Vine Ave Ne, Fort Walton Beach, FL 32548-5070 2006-07-26
1225357767 Rebecca A Bortnyik Counselor 7 Vine Ave Ne, Fort Walton Beach, FL 32548-5070 2010-05-24
1619022092 Gloria Yates Counselor 7 Vine Ave Ne, Fort Walton Beach, FL 32548-5070 2007-01-24
1104979863 Susan Page Counselor 7 Vine Ave Ne, Fort Walton Beach, FL 32548-5070 2007-01-18
1255483608 Tommy Rowland Counselor 7 Vine Ave Ne, Fort Walton Beach, FL 32548-5070 2007-01-17
1134280266 Nina J. Gawlik Psychologist 7 Vine Ave Ne, Fort Walton Beach, FL 32548-5070 2006-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932718426 Erica Darby Pharmacist Publix, 421 Mary Esther Cut Off, Fort Walton Beach, FL 32548 2020-07-30
1770136681 Michael Cody Jones Pharmacist 251 Miacle Strip Pkwy Se, Fort Walton Beach, FL 32548 2019-07-19
1346714532 Alison Ann Gould Occupational Therapy Assistant Emerald Coast Heath Care, 114 Third St, Fort Walton Beach, FL 32548 2019-01-22
1699217695 Mayra Lopez Dentist Blvd. Gomez Morin #8569, Suite 6a, Juarez, CHIHUAHUA 32548 2016-11-08
1265808455 Rajiv Tuladhar Dmd Holdings, Pllc Dentist 516 Mary Esther Blvd Ste 2, Fort Walton Beach, FL 32548 2015-08-11
1881090702 Annette Peadro Behavioral Analyst 171 Brooks St, Suite 308, Fort Walton Beach, FL 32548 2014-11-05
1790037729 Julie Bradfield Counselor 44 Shell Ave, Fort Walton Beach, FL 32548 2012-10-15
1740559582 Beth Paula Ritenour Pharmacist 414 Mary Esther Cutoff Nw, C, Fort Walton Beach, FL 32548 2011-12-23
1891080867 Okaloosa County Council On Aging Home Health 207 Hospital Drive, Fort Walton Beach, FL 32548 2011-06-17
1649580275 Sharon Renee Wise Counselor 44 Shell Avenue Se, Fort Walton Beach, FL 32548 2010-10-17
Find all providers in zip 32548

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053813808 Amanda Rollins Dobler Counselor 107 Hughes St Ne, Fort Walton Beach, FL 32548-4455 2018-03-07
1003358185 Melody Ray Counselor 350 Hollywood Blvd Se, Fort Walton Beach, FL 32548-5772 2016-11-07
1225585300 Nancy Lynn Wess I Counselor 210 Watson Dr Nw, Fort Walton Beach, FL 32548-4238 2016-09-06
1497132450 David I Copeland Counselor 348 Miracle Strip Pkwy Sw Ste 3, Fort Walton Beach, FL 32548-5253 2015-04-29
1588914006 Shevon L. Peet Counselor 7 Vine Street, Fort Walton Beach, FL 32548-5070 2012-09-12
1730456393 Rebekah Elizabeth Boes Counselor 128 Shell Ave Se, Fort Walton Beach, FL 32548-5543 2011-11-28
1649580275 Sharon Renee Wise Counselor 44 Shell Avenue Se, Fort Walton Beach, FL 32548 2010-10-17
1205142742 Ashley Lynne Brown Counselor 113 Hollywood Blvd Nw, Suite 205, Fort Walton Beach, FL 32548-4723 2010-08-22
1811173214 Ann E Imburgio Counselor 11 1st St Se, Fort Walton Beach, FL 32548-5839 2008-01-15
1922201755 Melanie Cassulo Counselor 326 Harbor Pl Sw, Fort Walton Beach, FL 32548-6504 2007-06-08
Find all providers in FORT WALTON BEACH

Competitor

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City FORT WALTON BEACH
Zip Code 32548

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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