MS. SHANASIA VICTRUM MA NPI 1255068698

NPI Information

  • NPI: 1255068698
  • Provider Name: MS. SHANASIA VICTRUM, MA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 177 HAYES CIR
    REX, GA
    ZIP 30273
  • Phone: (678) 613-3542

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NPI Details

MS. Shanasia Victrum, MA is a mental health counselor in Rex, GA. MS. Shanasia Victrum, MA NPI is 1255068698. 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:

177 HAYES CIR
REX, GA
ZIP 30273-543
Phone: (678) 613-3542

The enumeration date for this NPI number is 8/5/2022 and was last updated on 8/5/2022.

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
1101YM0800XCounselorMental HealthYes

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: 3/30/2025

NPI Synchronization or Removal

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