Individual ProviderSelena B ShelleyCounselorBehavioral Health & Social Service ProvidersPractice Address11415 NE 128th St Ste 100, Kirkland, WA 98034-6314(425) 213-3807PECOS EnrollmentBased on the most recent information from CMS, provider Selena B Shelley 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 ID1972838761Provider TypeIndividualFull NameShelley, Selena BTitleMrs.CredentialMA,LMHC, CD, LCCEGenderFemaleSole ProprietorYesEnumeration Date10/12/2009Last Updated5/26/2020Contact InformationPractice LocationPractice Address11415 NE 128th St Ste 100, Kirkland, WA 98034-6314Phone(425) 213-3807FaxUnlisted FaxMailing LocationMailing Address11415 NE 128th St Ste 100, Kirkland, WA 98034-6314Phone(425) 213-3807FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH60858843WashingtonCode374J00000XDescriptionDoulaNursing Service Related ProvidersLicenseUnlisted Issuer