1003218710 NPI number — DR. SHELLY LAVONNE BEST LCSW, MFT, CRTC

Table of content: DR. SHELLY LAVONNE BEST LCSW, MFT, CRTC (NPI 1003218710)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003218710 NPI number — DR. SHELLY LAVONNE BEST LCSW, MFT, CRTC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BEST
Provider First Name:
SHELLY
Provider Middle Name:
LAVONNE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
LCSW, MFT, CRTC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BEST
Provider Other First Name:
SHELLY
Provider Other Middle Name:
LAVONNE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MFT, CRTC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1003218710
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/07/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1070 MONTGOMERY RD # 2206
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALTAMONTE SPRINGS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32714-7420
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-277-4936
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
278 SEMORAN COMMERCE PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APOPKA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-277-4936
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/24/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP1600X , with the licence number:  472087213 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 472087213 . This is a "TRICARE (CH002)" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 472087213 . This is a "BLUE CROSS BLUE SHIELD OF MO-ANTHEM (00241)" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 472087213 . This is a "CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) (SX065)" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 472087213 . This is a "UNITED HEALTHCARE MILITARY AND VETERANS (99726)" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 1003218710 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 472087213 . This is a "UNICARE (80314)" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 472087213 . This is a "CIGNA BEHAVIORAL HEALTH (SX071) (CIGBH)" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 472087213 . This is a "HUMANA CHOICE CARE PPO (61101)" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 472087213 . This is a "ANTHEM OMHS (37331)" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 472087213 . This is a "COVENTRY HEALTHCARE OF MISSOURI 25133" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 472087213 . This is a "MANAGED HEALTH NETWORK-MHN (22771)" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 472087213 . This is a "CIGNA PRIVATE (62308)" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 472087213 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 472087213 . This is a "MEDICAID MISSOURI" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 472087213 . This is a "UBH-UNITED BEHAVIORAL HEALTH-RIOS (87726)" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 472087213 . This is a "AARP-MEDICARE SUPPLEMENT-UNITED HEALTHCARE INSURANCE (36273" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 472087213 . This is a "ACCESS BEHAVIORAL CARE (COACC)" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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