Provider Demographics
NPI:1881586873
Name:SHELTON, AMI SHELTON (LPC- ASSOCIATE)
Entity type:Individual
Prefix:
First Name:AMI SHELTON
Middle Name:
Last Name:SHELTON
Suffix:
Gender:F
Credentials:LPC- ASSOCIATE
Other - Prefix:
Other - First Name:AMI SHELTON
Other - Middle Name:
Other - Last Name:DEFREITAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:603 MEADOW LARK DR
Mailing Address - Street 2:
Mailing Address - City:OVILLA
Mailing Address - State:TX
Mailing Address - Zip Code:75154-3609
Mailing Address - Country:US
Mailing Address - Phone:813-650-6756
Mailing Address - Fax:
Practice Address - Street 1:603 MEADOW LARK DR
Practice Address - Street 2:
Practice Address - City:OVILLA
Practice Address - State:TX
Practice Address - Zip Code:75154-3609
Practice Address - Country:US
Practice Address - Phone:469-272-8797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99193101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health