Provider Demographics
NPI:1871351924
Name:HENDLEY, SHELLY LOUISE (LPC-A)
Entity type:Individual
Prefix:
First Name:SHELLY
Middle Name:LOUISE
Last Name:HENDLEY
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 S DELAWARE ST APT A312
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-8360
Mailing Address - Country:US
Mailing Address - Phone:830-730-8930
Mailing Address - Fax:
Practice Address - Street 1:5100 S DELAWARE ST APT A312
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-8360
Practice Address - Country:US
Practice Address - Phone:682-268-0230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0021387101YP2500X
TX93112101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional