Provider Demographics
NPI:1881579118
Name:LOFTIN, SHELBY MARIE (LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:MARIE
Last Name:LOFTIN
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:MARIE
Other - Last Name:DEVONA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1059 MISTY CLF
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-8378
Mailing Address - Country:US
Mailing Address - Phone:409-750-1459
Mailing Address - Fax:
Practice Address - Street 1:1560 W BAY AREA BLVD STE 210
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-2669
Practice Address - Country:US
Practice Address - Phone:281-218-8181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95708101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor