Shelby Bristow, LPC
Counselor, Professional in Mobile, AL. Individual provider (NPI-1).
NPI number1609550706
StatusActive
Last updated in NPPESJan 8, 2025
Details
- NPI
- 1609550706
- Entity type
- Individual (NPI-1)
- Name
- Shelby Bristow
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2023
- Certification date
- Jan 8, 2025
- Last updated
- Jan 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC04909 | AL | Yes |
| 101YM0800X | Counselor, Mental Health | LPC04909 | AL | |
| 102L00000X | Psychoanalyst | LPC04909 | AL |
Practice location
5901 Airport Blvd Ste 100Mobile, AL 36608-3169
Phone 251-873-0002
Mailing address
5901 Airport Blvd # 100Mobile, AL 36608-3169
Phone 251-202-7005
Other practice locations
1290 Main St Ste C
Daphne, AL 36526-8624
Daphne, AL 36526-8624
Phone 251-202-7005
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