SHANTRA BEANE LPC LCAS NPI 1063634442

NPI Information

  • NPI: 1063634442
  • Provider Name: SHANTRA BEANE, LPC, LCAS
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 3821 FORRESTGATE DR
    DBA FORSYTH BEHAVIOR HEALTH
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (336) 277-1811

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NPI Details

Shantra Beane, LPC, LCAS is a counselor in Winston Salem, NC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Shantra Beane, LPC, LCAS NPI is 1063634442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3821 FORRESTGATE DR
DBA FORSYTH BEHAVIOR HEALTH
WINSTON SALEM, NC
ZIP 27103-930
Phone: (336) 277-1811

The enumeration date for this NPI number is 5/3/2007 and was last updated on 9/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor4302NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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