Healthcare Provider Details

I. General information

NPI: 1831014018
Provider Name (Legal Business Name): SHANNETTE LASHON DEVOISE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3911 NEW BERN AVE
RALEIGH NC
27610-1332
US

IV. Provider business mailing address

4994 TRIDENT MAPLE CT
BATTLEBORO NC
27809-7309
US

V. Phone/Fax

Practice location:
  • Phone: 919-948-0300
  • Fax: 919-307-3036
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: