DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SHELLY WIMS LPC, ED.D.

MEDICARE: SHELLY WIMS LPC, ED.D.
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
1101YP2500XProfessional Counselor2016040796MO
2101YP2500XProfessional Counselor2025044325MO

General Provider Information

NPI Number : 1558257675
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLY WIMS LPC, ED.D.
Provider Business Mailing Address
First Line : 1001 LYNCH ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63118-1818
Country : US
Telephone Number : 314-535-5600
Fax Number :
Provider Business Practice Location Address
First Line : 11701 W FLORISSANT AVE
Second Line :
City : FLORISSANT
State : MO
Zip : 63033-6744
Country : US
Telephone Number : 314-830-2565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2025
Last Update Date : 12/15/2025

Similar Medicare Providers

1184756926 — DANIEL TIMOTHY BOND LPC
Practice Location Address:
11701 W FLORISSANT AVE
FLORISSANT, MO
63033-6744
Practice Phone: 314-972-8132
Practice Fax: 314-830-2565
1780980748 — PREFERRED FAMILY HEALTHCARE, INC.
Practice Location Address:
11701 W FLORISSANT AVE
FLORISSANT, MO
63033-6744
Practice Phone: 314-584-1010
Practice Fax: 314-584-1008
1871869891 — GINA L TITONE LCSW
Practice Location Address:
11701 W FLORISSANT AVE
FLORISSANT, MO
63033-6744
Practice Phone: 314-584-1010
Practice Fax: 314-584-1008
1912426586 — SHAYNA PARKER
Practice Location Address:
11701 W FLORISSANT AVE
FLORISSANT, MO
63033-6744
Practice Phone: 314-972-8132
Practice Fax:
1396264719 — TARA HOPPE PLPC
Practice Location Address:
11701 W FLORISSANT AVE
FLORISSANT, MO
63033-6744
Practice Phone: 314-972-8132
Practice Fax: 314-830-8565
1083170419 — LILLIAN CARL PLPC
Practice Location Address:
11701 W FLORISSANT AVE
FLORISSANT, MO
63033-6744
Practice Phone: 314-972-8132
Practice Fax: 314-830-2565

Directions to “ SHELLY WIMS LPC, ED.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.