Doctor Name: | MARY L. SHULTS |
NPI Number: | 1306884630 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | 1451 |
Business Practice Address: | 2094 Woodruff Rd Greenville, SC - 296075939 |
Business Phone Number: | 8646769211 |
Business Fax Number: | 8646769432 |
Mailing Address: | 2094 Woodruff Rd, GREENVILLE |
State: | SC |
Postal Code: | 296075939 |
Phone Number: | 8646769211 |
Fax Number: | 8646769432 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 10/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1451 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |