SHANICE COBURN LCSW NPI 1386043537

NPI Information

  • NPI: 1386043537
  • Provider Name: SHANICE COBURN, LCSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 323 CENTER ST STE 1420
    LITTLE ROCK, AR
    ZIP 72201
  • Phone: (501) 474-6131

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NPI Details

Shanice Coburn, LCSW is a mental health counselor in Little Rock, AR. Shanice Coburn, LCSW NPI is 1386043537. 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:

323 CENTER ST STE 1420
LITTLE ROCK, AR
ZIP 72201-651
Phone: (501) 474-6131

The NPI 1386043537 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 8/13/2014 and was last updated on 5/7/2024.

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
11041C0700XSocial WorkerClinical7338-CARKANSASNo
2101YM0800XCounselorMental 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: 11/21/2025

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