Individual provider · Type 1 NPI
Kevin Shade
Mental Health Counselor · Lawndale, NC
NPI number
1366370256
Active
Practice location
152 Schenck Farm Rd
Lawndale, NC 28090-9479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1366370256
Kevin Shade's National Provider Identifier is 1366370256, issued on May 11, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawndale, NC. The record was last updated on May 11, 2026.