Individual provider · Type 1 NPI

Madison Shreve, LCMHCA

Mental Health Counselor · Clemmons, NC

NPI number 1124919931 Active

Practice location

2554 Lewisville Clemmons Rd Bldg SUITE209
Clemmons, NC 27012-8110

Call (336) 660-6000 Map

Mailing address

6140 Riverwoods Dr Apt 305
Wilmington, NC 28412-0002

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA20990 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1124919931

Madison Shreve, LCMHCA's National Provider Identifier is 1124919931, issued on Jul 10, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clemmons, NC. The record was last updated on Jul 10, 2025.