Individual ProviderShellie RespessCounselorBehavioral Health & Social Service ProvidersPractice Address11335 NE 122nd Way Ste 105, Kirkland, WA 98034-6933(813) 802-2811PECOS EnrollmentBased on the most recent information from CMS, provider Shellie Respess does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1003231218Provider TypeIndividualFull NameRespess, ShellieGenderFemaleSole ProprietorYesEnumeration Date2/25/2014Last Updated12/8/2017Contact InformationPractice LocationPractice Address11335 NE 122nd Way Ste 105, Kirkland, WA 98034-6933Phone(813) 802-2811FaxUnlisted FaxMailing LocationMailing Address11335 NE 122nd Way Ste 105, Kirkland, WA 98034-6933PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH60796679WashingtonCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMH13340Florida