SHELBY BOURGEOIS CASAC NPI 1215681960

NPI Information

NPI: 1215681960
Provider Name: SHELBY BOURGEOIS, CASAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
50 JOHN MUNN RD
SARANAC LAKE, NY
ZIP 12983
Phone: (518) 891-5353
Get Directions

Shelby Bourgeois, CASAC is an addiction (substance use disorder) counselor in Saranac Lake, NY. Shelby Bourgeois, CASAC NPI is 1215681960. 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:

50 JOHN MUNN RD
SARANAC LAKE, NY
ZIP 12983-341
Phone: (518) 891-5353

The enumeration date for this NPI number is 2/10/2022 and was last updated on 2/10/2022.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	36789	NEW YORK	Yes

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »