| David Lewis Shelton, LMFT | |
|
400 Technology Ct Se Ste J, Smyrna, GA 30082-5237 | |
| (770) 431-2354 | |
| Not Available |
| Full Name | David Lewis Shelton |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 400 Technology Ct Se Ste J, Smyrna, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194543132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT002136 (Georgia) | Primary |
| 101YM0800X | Counselor - Mental Health | MFT002136 (Georgia) | Secondary |
| Entity Name | Personal Recovery Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
| Mailing Address | Practice Location Address |
|---|---|
| David Lewis Shelton, LMFT 9458 Creekstone Ct, Villa Rica, GA 30180-3376 Ph: (770) 833-1234 | David Lewis Shelton, LMFT 400 Technology Ct Se Ste J, Smyrna, GA 30082-5237 Ph: (770) 431-2354 |
Maria Teresa Curtis, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1314 Concord Rd Se, Smyrna, GA 30080 Phone: 770-438-1799 | |
Ms. Angela Sada' Demoin Paggett, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1800 Lake Park Dr Se Ste 123, Smyrna, GA 30080 Phone: 404-905-1755 | |
Dr. John William Harkins Iii, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 111 Jeffrey Pl, Smyrna, GA 30082 Phone: 770-333-6148 | |
Kelly Gail Rhines, Couples Therapy Medicare: Medicare Enrolled Practice Location: 3375 Spring Hill Pkwy Se Apt 501, Smyrna, GA 30080 Phone: 909-560-4982 | |
Tania Maria Capparelli, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 721 Park Manor Dr Se, Smyrna, GA 30082 Phone: 770-557-5582 Fax: 770-450-8565 | |
Mr. Sean Taylor Kirkland, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1314 Concord Rd Se, Smyrna, GA 30080 Phone: 770-438-1799 |