Individual provider · Type 1 NPI

Shanita Wade

Mental Health Counselor · East Lansing, MI

NPI number 1265737951 Active

Practice location

411 W Lake Lansing Rd Ste A100
East Lansing, MI 48823-8404

Call (517) 798-3717 Map

Mailing address

PO Box 10
Mason, MI 48854-0010

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401017983 (MI)
Counselor 101Y00000X6401017983 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1265737951

Shanita Wade's National Provider Identifier is 1265737951, issued on Jan 11, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Lansing, MI. The record was last updated on May 13, 2026.