Provider Demographics
NPI:1629648886
Name:SHELLENBERGER, CHARLA JONELLE (LPCC)
Entity type:Individual
Prefix:
First Name:CHARLA
Middle Name:JONELLE
Last Name:SHELLENBERGER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11643 SOLZMAN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-1232
Mailing Address - Country:US
Mailing Address - Phone:513-530-2090
Mailing Address - Fax:513-247-0850
Practice Address - Street 1:11643 SOLZMAN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-1232
Practice Address - Country:US
Practice Address - Phone:513-530-2090
Practice Address - Fax:513-247-0850
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-30
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2505630101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty