MEDICARE: SHELL HEBERT CAREER & TECHNICAL ACADEMY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1124997580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHELL HEBERT CAREER & TECHNICAL ACADEMY

Provider Business Mailing Address
First Line	:	2714 CYPRESS POINT DR STE A
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2600
Country	:	US
Telephone Number	:	979-221-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2714 CYPRESS POINT DR STE A
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2600
Country	:	US
Telephone Number	:	979-221-1700
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PROF. SHELL MCCLUE
Credential	:
Telephone Number	:	346-552-1623

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	11/04/2025

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