MISS CRYSTAL SHAW LCMHC CRC NPI 1972289122

NPI Information

NPI: 1972289122
Provider Name: MISS CRYSTAL SHAW, LCMHC, CRC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
107 PINECREST TRL
ROCKINGHAM, NC
ZIP 28379
Phone: (843) 277-8567
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MISS Crystal Shaw, LCMHC, CRC is a mental health counselor in Rockingham, NC. MISS Crystal Shaw, LCMHC, CRC NPI is 1972289122. 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:

107 PINECREST TRL
ROCKINGHAM, NC
ZIP 28379-429
Phone: (843) 277-8567

The enumeration date for this NPI number is 6/23/2023 and was last updated on 6/23/2023.

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	101Y00000X	Counselor		10482	NORTH CAROLINA	No
2	101YP2500X	Counselor	Professional	10482	NORTH CAROLINA	No
3	101YM0800X	Counselor	Mental Health	10482	NORTH CAROLINA	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: 5/5/2024

NPI Synchronization or Removal

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