Provider Information for 1396432514
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
SHAVON RICH LPC
Sex: Female
NPI: 1396432514
Last Updated: 2024-07-26
Certification Date: 2024-07-26
Certification Date: 2024-07-26
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1396432514 | ||||||||||||
| Enumeration Date | 2023-04-18 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1301 SIOUX ST DOTHAN, AL 36303-3259 United States Phone: 334-200-1538 | Fax: | ||||||||||||
| Primary Practice Address | 1301 SIOUX ST DOTHAN, AL 36303-3259 United States Phone: 334-200-1538 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|