Healthcare Provider Details

I. General information

NPI: 1437398518
Provider Name (Legal Business Name): HOLLI B SHELTON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2009
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 HIGHWAY 463 N
TRUMANN AR
72472-3501
US

IV. Provider business mailing address

143 HIGHWAY 463 N
TRUMANN AR
72472-3501
US

V. Phone/Fax

Practice location:
  • Phone: 870-568-1286
  • Fax: 870-301-3707
Mailing address:
  • Phone: 870-243-6457
  • Fax: 870-301-2707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP1306057
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: