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Contact Information

LAVETA Z SHELTON, LCDCI
410 W. HILLMONT
ODESSA, TX79764
 Phone: 432-438-3840
 Fax:
 Website: http:bridgebackcounseling.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LAVETA Z SHELTON · (Female)

NPI Number 1104259100
Status Active
Credentials LCDCI
Entity Individual
Enumeration date 08/13/2013
Last updated 08/13/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 14455
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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