Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael David Shacklette, LPCC

Individual provider Mental Health Counselor · NPI 1194217612

Michael David Shacklette, LPCC is a Mental Health Counselor in Scottsville, Kentucky. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2018
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

512 Veterans Memorial Hwy
Scottsville, KY 42164-8443
Phone: (270) 901-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 380 Suwannee Trail St, Bowling Green, KY 42103-7956 — (270) 901-5000

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 283406 (KY)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1194217612
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorNo
NPI enumeratedMay 31, 2018
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address380 Suwannee Trail St, Bowling Green, KY 42103-7956

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