Individual provider · Type 1 NPI

Shanata N. Edwards, LCMHCA, LCAS-A

Professional Counselor · Rocky Point, NC

NPI number 1619654415 Active

Practice location

7910 US Hwy 117 S
Rocky Point, NC 28457-9431

Mailing address

615 Shipyard Blvd
Wilmington, NC 28412-6431

Other practice locations

  • 416 West Ridge Street, Rose Hill, NC 28458 · (910) 289-2610
  • 615 Shipyard Blvd, Wilmington, NC 28412-6431 · (910) 343-0145

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-29061 (NC)
Mental Health Counselor 101YM0800XA19627 (NC)
Professional Counselor Primary 101YP2500XA19627 (NC)

Professional Counselor: Definition to come...

9 other providers at this address

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About NPI 1619654415

Shanata N. Edwards, LCMHCA, LCAS-A's National Provider Identifier is 1619654415, issued on Jul 3, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rocky Point, NC. The record was last updated on Jun 11, 2024.