Shanasia Victrum, MA
Individual provider Active NPI Mental Health Counselor · Rex, GA
NPI 1255068698 · NPPES record last updated Aug 5, 2022
Key facts
- NPI
- 1255068698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 177 Hayes Cir
Rex, GA 30273-1543 - Phone
- (678) 613-3542
- NPI assigned
- Aug 5, 2022
- Sex
- Female
- Sole proprietor
- No
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 Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
177 Hayes Cir
Rex, GA 30273-1543
Mailing address
177 Hayes Cir
Rex, GA 30273-1543
Phone (678) 613-3542
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shay@comprehensivefamilycare.org |
Other providers in Rex, GA
- Theresa A Toles-Jones
- True Care Health Solutions
- True Kindness Healthcare LLC
- Sharon Elaine Tunstall
- Lakeisha Varner
- Vonetta Williams Enterprise LLC
- Walgreen Co
- Patricia Watson
- Berthina Gaynell Weaver
- Rachel L Whitfield
All providers in Rex, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2022. 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.