Healthcare Provider Details

I. General information

NPI: 1275683674
Provider Name (Legal Business Name): SHAY LYNN ALDERMAN LMFT, LPC, LPCC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 09/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 1/2 HILLSBORO ST.
PITTSBORO NC
27312
US

IV. Provider business mailing address

PO BOX 161
PITTSBORO NC
27312-0161
US

V. Phone/Fax

Practice location:
  • Phone: 919-923-7414
  • Fax: 888-868-4875
Mailing address:
  • Phone: 919-923-7414
  • Fax: 888-868-4875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC735
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2010037686
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10913
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: