MEDICARE: MRS. SHANTEL ABRAHAM COOPER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701014999	VA

General Provider Information

NPI Number	:	1154009306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHANTEL ABRAHAM COOPER LPC

Provider Business Mailing Address
First Line	:	PO BOX 821
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23804-0821
Country	:	US
Telephone Number	:	804-431-4043
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 E TABB ST STE 203
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23803-4560
Country	:	US
Telephone Number	:	804-215-6171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2023
Last Update Date	:	08/21/2025

Similar Medicare Providers

1598611295 — BREAKTHROUGH BEHAVIORAL HEALTH LLC
Practice Location Address:

20 E TABB ST STE 201B
PETERSBURG, VA
23803-4560

Practice Phone: 804-898-5322
Practice Fax:

1427403476 — FIRST STEP SERVICE LLC
Practice Location Address:

20 E TABB ST STE 204
PETERSBURG, VA
23803-4560

Practice Phone: 804-712-3546
Practice Fax:

1366982936 — ARSHEIA JONES
Practice Location Address:

20 E TABB ST STE 205
PETERSBURG, VA
23803-4560

Practice Phone: 804-312-7469
Practice Fax:

1720606866 — LOVE AND LOYALTY HOME CARE LLC
Practice Location Address:

20 E TABB ST STE 203
PETERSBURG, VA
23803-4560

Practice Phone: 804-896-6177
Practice Fax:

1912646142 — CASSANDRA MERRICK LPC
Practice Location Address:

20 E TABB ST STE 205
PETERSBURG, VA
23803-4560

Practice Phone: 804-536-5066
Practice Fax: 202-545-3413

1295517647 — NEXT LEVEL CRISIS LLC
Practice Location Address:

20 E TABB ST STE 201A
PETERSBURG, VA
23803-4560

Practice Phone: 804-898-5322
Practice Fax:

Directions to “ MRS. SHANTEL ABRAHAM COOPER LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.