Provider Type Icon

DR. SHAWN THE LPC LC NPI 1972378313


NPI Information

NPI: 1972378313
Provider Name: DR. SHAWN, THE LPC, LC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1412 SAND WAY STE 100
LAWRENCEVILLE, GA
ZIP 30045
Phone: (313) 492-7478
Get Directions

DR. SHAWN, THE LPC, LC is a professional counselor in Lawrenceville, GA. DR. SHAWN, THE LPC, LC NPI is 1972378313. The provider is registered as an organization entity type.

The provider's business location address is:

1412 SAND WAY STE 100
LAWRENCEVILLE, GA
ZIP 30045-904
Phone: (313) 492-7478
Fax: (800) 554-2503

The provider's authorized official is Richarne Fuqua .
The authorized official title is Owner/operator and has the following contact phone number (800) 554-2503.

The enumeration date for this NPI number is 11/15/2023 and was last updated on 12/26/2023.


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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3101YP2500XCounselorProfessionalYes

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

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.