Individual provider · Type 1 NPI

Shanda Leavelle, LCMHCA, LCASA

Mental Health Counselor · Raleigh, NC

NPI number 1912730714 Active

Practice location

2101 Garner Rd
Raleigh, NC 27610-0114

Call (919) 787-6131 Map

Fax (919) 571-2932

Mailing address

3125 Poplarwood Ct Ste 203
Raleigh, NC 27604-6445

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-30227 (NC)
Mental Health Counselor Primary 101YM0800XA20893 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1912730714

Shanda Leavelle, LCMHCA, LCASA's National Provider Identifier is 1912730714, issued on Aug 26, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on Dec 23, 2024.