JEAN SHELOR (NPI# 1073057204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073057204 |
| Entity Type | Individual |
| Full Name | JEAN SHELOR |
| Practice Address |
448 Lakeshore Pkwy Ste 205 Rock Hill SC 29730-4264 |
| Practice Telephone | 8033230007 |
| Mailing Telephone | 8033230007 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
99893 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1568476885 | 05 |
| Street Address |
448 LAKESHORE PKWY STE 205 |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29730-4264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902963960 | Carlita J Randall | Counselor | 448 Lakeshore Pkwy Ste 205, Rock Hill, SC 29730-4264 | 2007-01-02 |
| 1487297966 | Monique J Mccrea | Counselor | 448 Lakeshore Pkwy Ste 205, Rock Hill, SC 29730-4264 | 2019-10-28 |
| 1487200770 | Naterea Holley | Social Worker | 448 Lakeshore Pkwy Ste 205, Rock Hill, SC 29730-4264 | 2019-08-13 |
| 1982188553 | Marika Dillard | Counselor | 448 Lakeshore Pkwy Ste 205, Rock Hill, SC 29730-4264 | 2018-09-19 |
| 1598277980 | Joyce Lynn Smith | Social Worker | 448 Lakeshore Pkwy Ste 205, Rock Hill, SC 29730-4264 | 2017-10-25 |
| 1891231056 | Lisa Brown | Registered Nurse | 448 Lakeshore Pkwy Ste 205, Rock Hill, SC 29730-4264 | 2017-01-12 |
| 1023235843 | Glenn Torre Brown | Social Worker | 448 Lakeshore Pkwy Ste 205, Rock Hill, SC 29730-4264 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972132116 | Jennifer D Dawkins | Health Educator | 151 S. Oakland Ave., Rock Hill, SC 29730 | 2020-04-08 |
| 1598312969 | Erinnae Cline | Counselor | 864 Springdale Road, Rock Hill, SC 29730 | 2019-08-21 |
| 1982175139 | A&s Humans Services LLC | Meals | 1111 Southland Dr, Rock Hill, NC 29730 | 2018-12-16 |
| 1437642824 | Embrace Clinical Services LLC | Social Worker | 331 East Main Streest, Rock Hill, SC 29730 | 2018-06-11 |
| 1558852384 | Affinity Health Center - Dental | Dentist | 500 Lakeshore Parkway, Rock Hill, SC 29730 | 2018-05-29 |
| 1942729603 | Carolina Therapy Solutions for Kids, LLC | Occupational Therapy Assistant | 458 Anvil Draw Pl, Rock Hill, SC 29730 | 2017-09-13 |
| 1245750041 | Revelation Home Health Care | In Home Supportive Care | 331 E. Main Street, Rock Hill, SC 29730 | 2017-06-22 |
| 1538696703 | Ivan Alexander Carrion | Dentist | 2427 Cross Pointe Dr Ste 101, Rock Hill, SC 29730 | 2017-05-17 |
| 1154861045 | Community Medicine Foundation, Inc | Clinic/Center | 1140 Saluda Street, Women's Health and Pediatric /adolescent Center, Rock Hill, SC 29730 | 2017-02-27 |
| 1912447996 | Carolinas Medical Center At Home, LLC | Home Health | 226 Northpark Drive, Suite 120, Rock Hill, SC 29730 | 2017-02-24 |
| Find all providers in zip 29730 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497363527 | Lumin Center, LLC | Clinic/Center | 306a Mills Ave, Greenville, SC 29605-4022 | 2020-07-15 |
| 1801431069 | Lantana Recovery | Clinic/Center | 1470 Ben Sawyer Blvd Ste 6, Mount Pleasant, SC 29464-4593 | 2019-11-12 |
| 1407497803 | Jouney Counseling, LLC | Clinic/Center | 439 Congaree Rd Ste 6, Greenville, SC 29607-2868 | 2019-10-07 |
| 1255801973 | Sunspire Health Hilton Head LLC | Clinic/Center | 11 Arley Way Ste 101, Bluffton, SC 29910-4883 | 2018-11-26 |
| 1942791090 | Family Medicine of Sayebrook, LLC | Clinic/Center | 106 Lansford Pl Ste 100, Myrtle Beach, SC 29588-6979 | 2018-05-24 |
| 1114455615 | Magnolia Family Counseling LLC | Clinic/Center | 135 Eagles Nest Dr # B4, Seneca, SC 29678-2765 | 2017-05-26 |
| 1508235110 | Health Access 360, LLC | Clinic/Center | 4711 Forest Dr Ste 3-276, Columbia, SC 29206-3125 | 2015-09-24 |
| 1043504806 | Bakers Counseling Services, LLC | Clinic/Center | 12 Fairfield Rd Ste B3, Beaufort, SC 29907-2576 | 2011-06-08 |
| 1609180058 | Brown Mitchell, LLC | Clinic/Center | 35 Msc, Charleston, SC 29409-1002 | 2010-07-27 |
| 1528387040 | Mental Health America-beaufort/jasper | Clinic/Center | 2 Mathews Ct Ste C, Suite C, Hilton Head Island, SC 29926-3799 | 2010-05-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.