Healthcare Provider Details

I. General information

NPI: 1568308039
Provider Name (Legal Business Name): ADDICTION COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 S WASHINGTON ST STE B
SHELBY NC
28150-4884
US

IV. Provider business mailing address

129 BLUE SKY CIR
SHELBY NC
28152-9561
US

V. Phone/Fax

Practice location:
  • Phone: 980-241-4150
  • Fax:
Mailing address:
  • Phone: 980-241-4150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. LINDA ARENZ SHAFFER
Title or Position: ORGANIZER
Credential: MA, ED.S, LCAS, MAC
Phone: 980-241-4150