Individual provider · Type 1 NPI

Shamanda Shanta Burston, LCMHC, LCAS

Mental Health Counselor · Charlotte, NC

NPI number 1902296445 Active

Practice location

1235 East Blvd
Charlotte, NC 28203-5870

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-21626 (NC)
Mental Health Counselor Primary 101YM0800X18257 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1902296445

Shamanda Shanta Burston, LCMHC, LCAS's National Provider Identifier is 1902296445, issued on Feb 4, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Mar 24, 2026.