Healthcare Provider Details

I. General information

NPI: 1154020105
Provider Name (Legal Business Name): TAMEKA LASHAWN GIVENS LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 FAIRWAY VILLAGE WAY UNIT 3H
WHITSETT NC
27377-9367
US

IV. Provider business mailing address

1002 FAIRWAY VILLAGE WAY UNIT 3H
WHITSETT NC
27377-9367
US

V. Phone/Fax

Practice location:
  • Phone: 202-277-5097
  • Fax:
Mailing address:
  • Phone:
  • Fax: 919-573-0438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18549
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: