Provider Demographics
NPI:1770347924
Name:REDMAN, SHELBY (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:REDMAN
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 FRANKLIN RD STE 135
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4646
Mailing Address - Country:US
Mailing Address - Phone:615-412-1155
Mailing Address - Fax:
Practice Address - Street 1:155 FRANKLIN RD STE 135
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4646
Practice Address - Country:US
Practice Address - Phone:615-412-1155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6570101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health