Shamika Masharie Stephens, MS, LCAS-A

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lumber Bridge, NC

NPI 1154861615 · NPPES record last updated Mar 3, 2017

Key facts

NPI
1154861615
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
LCAS-23052 (NC)
Practice address
261 Clarington CT
Lumber Bridge, NC 28357-8781
Phone
(910) 633-0419
NPI assigned
Mar 3, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LCAS-23052NCMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-23052 NC Yes

Addresses

Primary practice location

261 Clarington CT
Lumber Bridge, NC 28357-8781

Mailing address

261 Clarington CT
Lumber Bridge, NC 28357-8781

Other providers in Lumber Bridge, NC

All providers in Lumber Bridge, NC · Addiction (Substance Use Disorder) Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.