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LILLY MARIE SHORTER LCAS 21705 NPI 1154715027


NPI Information

NPI: 1154715027
Provider Name: LILLY MARIE SHORTER, LCAS 21705
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
86 THREE HUNT DRIVE
PEMBROKE, NC
ZIP 28372
Phone: (910) 522-0408
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Lilly Marie Shorter, LCAS 21705 is an addiction (substance use disorder) counselor in Pembroke, NC. Lilly Marie Shorter, LCAS 21705 NPI is 1154715027. 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:

86 THREE HUNT DRIVE
PEMBROKE, NC
ZIP 28372
Phone: (910) 522-0408

The enumeration date for this NPI number is 3/27/2015 and was last updated on 5/23/2018.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)LCAS 21705NORTH CAROLINAYes

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.