Healthcare Provider Details

I. General information

NPI: 1447183058
Provider Name (Legal Business Name): SHALONDA L COPELAND BSW, MSW, CAMS, DVCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 S POWERLINE RD STE 12
POMPANO BEACH FL
33069-4341
US

IV. Provider business mailing address

1280 S POWERLINE RD STE 12
POMPANO BEACH FL
33069-4341
US

V. Phone/Fax

Practice location:
  • Phone: 954-947-3607
  • Fax: 954-337-8146
Mailing address:
  • Phone: 954-947-3607
  • Fax: 954-337-8146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: