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NPI Code Detail

MEDICARE: SHANYA E CARTER

MEDICARE: SHANYA E CARTER
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
1101YP2500XProfessional Counselor11861SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699447672
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANYA E CARTER
Provider Business Mailing Address
First Line : 403 STONY LANDING RD
Second Line :
City : MONCKS CORNER
State : SC
Zip : 29461-3967
Country : US
Telephone Number : 843-761-8282
Fax Number : 843-761-7308
Provider Business Practice Location Address
First Line : 403 STONY LANDING RD
Second Line :
City : MONCKS CORNER
State : SC
Zip : 29461-3967
Country : US
Telephone Number : 843-761-8282
Fax Number : 843-761-7308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2021
Last Update Date : 03/06/2026

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Directions to “ SHANYA E CARTER ” Practice Location

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