| Organization Name: | SHELBY COUNSELING, INC. |
| NPI Number: | 1144647892 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA IRWIN (OWNER/PSYCHOLOGIST) |
| Mailing Address: | 52188 Van Dyke Ave Suite 320 Shelby Township |
| State: | MI US |
| Postal Code: | 483163567 |
| Phone Number: | 5863230176 |
| Fax Number: | 5867377950 |
| NPI Enumeration Date: | 03/19/2014 |
| NPI Last Update Date: | 03/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301008401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |