NPI 1003221318
Shannell Lucas, LCMHCLCASCCSQS
Practice location
- Address
- 3816 N Elm St STE C, Greensboro, NC 27455-2776
- Phone
- (336) 545-5995
- Fax
- (336) 545-5996
Registered specialties (4)
Mental Health Counselor
Primary
Addiction (Substance Use Disorder) Counselor
Professional Counselor
Rehabilitation Counselor
Registry record
- NPI
- 1003221318
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Jun 2014
- Record last updated
- 1 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.