Provider Demographics
NPI:1679769301
Name:WINDSOR, SHELLEY (MA LPC)
Entity type:Individual
Prefix:MS
First Name:SHELLEY
Middle Name:
Last Name:WINDSOR
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 566
Mailing Address - Street 2:
Mailing Address - City:ANACONDA
Mailing Address - State:MT
Mailing Address - Zip Code:59711-0566
Mailing Address - Country:US
Mailing Address - Phone:406-490-8300
Mailing Address - Fax:
Practice Address - Street 1:810 W 5TH ST
Practice Address - Street 2:
Practice Address - City:ANACONDA
Practice Address - State:MT
Practice Address - Zip Code:59711-2026
Practice Address - Country:US
Practice Address - Phone:406-490-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225700000X
MT1035235Z00000X
MT44032101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist