Healthcare Provider Details
I. General information
NPI: 1003218710
Provider Name (Legal Business Name): SHELLY LAVONNE BEST LCSW, MFT, CRTC, NPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/24/2014
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8651 STATE ROUTE N #44
LAKE ST LOUIS MO
63367
US
IV. Provider business mailing address
8651 STATE ROUTE N #44
LAKE ST LOUIS MO
63367
US
V. Phone/Fax
- Phone: 314-485-7399
- Fax:
- Phone: 314-485-7399
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 202000145 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | 202000145 |
| License Number State | MO |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 472087213 |
| License Number State | MO |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP1600X |
| Taxonomy | Pastoral Counselor |
| License Number | 472087213 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: