Shea Dunham, LCPC, LMFT
Individual provider Active NPI Marriage & Family Therapist · Liberty, NC
NPI 1124784582 · NPPES record last updated Nov 10, 2021
Key facts
- NPI
- 1124784582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2262 (NC)
- Practice address
- 303 E Luther Ave
Liberty, NC 27298-2616 - Phone
- (330) 212-2884
- NPI assigned
- Nov 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.013309 | IL | MD | Professional Counselor |
| 166.001470 | IL | MD | Marriage & Family Therapist |
| 2262 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Relational Health, PLLC | Marriage & Family Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.013309 | IL | |
| Marriage & Family Therapist | 106H00000X | 166.001470 | IL | |
| Marriage & Family Therapist | 106H00000X | 2262 | NC | Yes |
Addresses
Primary practice location
303 E Luther Ave
Liberty, NC 27298-2616
Mailing address
303 E Luther Ave
Liberty, NC 27298-2616
Phone (330) 212-2884
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sdunham@centerfrh.com |
Other providers in Liberty, NC
- Ashley Brooke Crutchfield
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- Dr Thomas Blake Inc
- Dr. Thomas L Blake PA
- Frye Case MGT. & Consulting, LLC
- Frye Medical LLC
- Greg Moses DDS, PLLC
- Windy Rene' Griffin
- Dara Nataka Adesimbo Grimes
All providers in Liberty, NC · Marriage & Family Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.