Healthcare Provider Details

I. General information

NPI: 1053068718
Provider Name (Legal Business Name): ELIZABETH A SHELTON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2022
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1123 S DAVIS AVE
ELKINS WV
26241-3529
US

IV. Provider business mailing address

1531 GEORGETOWN RD
ELKINS WV
26241-7468
US

V. Phone/Fax

Practice location:
  • Phone: 681-378-3908
  • Fax:
Mailing address:
  • Phone: 304-621-3962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2708
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: