MEDICARE: TAMMIE SHELTON COUNSELING, LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1326997032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMMIE SHELTON COUNSELING, LLC

Provider Business Mailing Address
First Line	:	12932 SMOKEY RANCH DR
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-3566
Country	:	US
Telephone Number	:	817-808-6530
Fax Number	:

Provider Business Practice Location Address
First Line	:	3348 PEDEN RD STE 405
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76179-5556
Country	:	US
Telephone Number	:	817-808-6530
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAMMIE LEE SHELTON
Credential	:	LPC
Telephone Number	:	817-808-6530

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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