Provider Demographics
NPI:1174131304
Name:WOLFF, SHELBI NICOLE (LAC, LCPC)
Entity type:Individual
Prefix:
First Name:SHELBI
Middle Name:NICOLE
Last Name:WOLFF
Suffix:
Gender:F
Credentials:LAC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 N 27TH ST STE 21C
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-2357
Mailing Address - Country:US
Mailing Address - Phone:406-200-8471
Mailing Address - Fax:833-465-3766
Practice Address - Street 1:27 N 27TH ST STE 21C
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-2357
Practice Address - Country:US
Practice Address - Phone:406-200-8471
Practice Address - Fax:833-465-3766
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT43276101YA0400X
MTBBH-LCPC-LIC-57439101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)