Healthcare Provider Details

I. General information

NPI: 1699407155
Provider Name (Legal Business Name): SHAWN MCHELLON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 06/24/2022
Certification Date: 06/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23210 ROBBERS NEST DR
SPRING TX
77373-5106
US

IV. Provider business mailing address

1411 WUNSCHE LOOP UNIT 2027
SPRING TX
77383-1129
US

V. Phone/Fax

Practice location:
  • Phone: 504-491-5207
  • Fax:
Mailing address:
  • Phone: 504-491-5207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: