Provider Demographics
NPI:1023396249
Name:HOUSTON, SHELLEY LYNNE (MA, LMHC)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:LYNNE
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:SHELLEY
Other - Middle Name:LYNNE
Other - Last Name:SCHUBERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED LMHC
Mailing Address - Street 1:900 PACIFIC AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4188
Mailing Address - Country:US
Mailing Address - Phone:425-212-7212
Mailing Address - Fax:425-258-7618
Practice Address - Street 1:900 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4168
Practice Address - Country:US
Practice Address - Phone:425-258-7107
Practice Address - Fax:425-258-7618
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00007743101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALH 00007743OtherMENTAL HEALTH COUNSELOR LICENSE