MR. M SHAWN KELLERMAN LMHC SAP MAC CAP CCJ NPI 1568535235

NPI Information

NPI: 1568535235
Provider Name: MR. M SHAWN KELLERMAN, LMHC SAP MAC CAP CCJ
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3110 1ST AVE N 2ND FLOOR SUITE 6W
ST PETERSBURG, FL
ZIP 33733
Phone: (727) 580-9117
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MR. M Shawn Kellerman, LMHC SAP MAC CAP CCJ is an addiction (substance use disorder) counselor in St Petersburg, FL. MR. M Shawn Kellerman, LMHC SAP MAC CAP CCJ NPI is 1568535235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3110 1ST AVE N 2ND FLOOR SUITE 6W
ST PETERSBURG, FL
ZIP 33733-524
Phone: (727) 580-9117
Fax: (813) 961-9787

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1533CAT1533	FLORIDA	Yes
2	101YM0800X	Counselor	Mental Health	MH3987	FLORIDA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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