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NPI Code Detail

MEDICARE: SHAPEL LUCILLE BYNUM LCMHC

MEDICARE: SHAPEL LUCILLE BYNUM LCMHC
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
1101Y00000XCounselor14071NC
2101YM0800XMental Health CounselorNC
3101YM0800XMental Health Counselor14071NC

General Provider Information

NPI Number : 1346711306
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAPEL LUCILLE BYNUM LCMHC
Provider Business Mailing Address
First Line : 1611 KNOLL CT
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-2441
Country : US
Telephone Number : 336-340-4418
Fax Number : 844-444-0546
Provider Business Practice Location Address
First Line : 3980 PREMIER DR STE 110
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-8409
Country : US
Telephone Number : 336-662-2055
Fax Number : 844-444-0546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2018
Last Update Date : 12/19/2022

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Directions to “ SHAPEL LUCILLE BYNUM LCMHC” Practice Location

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