NPI Code Details Logo

NPI 1255055174

NPI 1255055174 : SHALOM LITTRELL : HENDERSONVILLE, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1255055174
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SHALOM LITTRELL
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/04/2022
-----------------------------------------------------
    Last Update Date     |    06/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    50 HOSPITAL DR STE 5D 
-----------------------------------------------------
    City                 |    HENDERSONVILLE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28792-5247
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-650-8032
-----------------------------------------------------
    Fax                  |    828-650-8033
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 1869 
-----------------------------------------------------
    City                 |    FLETCHER
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28732-1869
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-687-5616
-----------------------------------------------------
    Fax                  |    828-650-8076
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    P015257
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.