SHANE NICHOLAS WILLIAMSON LMHC NPI 1356890693

NPI Information

  • NPI: 1356890693
  • Provider Name: SHANE NICHOLAS WILLIAMSON, LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 722 TRADE WAY
    SANFORD, FL
    ZIP 32771
  • Phone: (833) 769-3524

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NPI Details

Shane Nicholas Williamson, LMHC is a mental health counselor in Sanford, FL with 11 years of experience. Shane Nicholas Williamson, LMHC NPI is 1356890693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

722 TRADE WAY
SANFORD, FL
ZIP 32771-657
Phone: (833) 769-3524
Fax: (407) 915-4387

The NPI 1356890693 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/28/2016 and was last updated on 9/16/2025.

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 HealthMH20135FLORIDAYes

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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