| Kevin Shade, | |
|
152 Schenck Farm Rd, Lawndale, NC 28090-9479 | |
| (704) 835-5782 | |
| Not Available |
| Full Name | Kevin Shade |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 152 Schenck Farm Rd, Lawndale, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366370256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Shade, 152 Schenck Farm Rd, Lawndale, NC 28090-9479 Ph: (704) 835-5782 | Kevin Shade, 152 Schenck Farm Rd, Lawndale, NC 28090-9479 Ph: (704) 835-5782 |
Mr. Myron Stacy Hall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 577 Oak Grove Clover Hill Church Rd, Lawndale, NC 28090 Phone: 704-312-3922 | |
Mrs. Elizabeth Ann Elliott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Elam Rd, Lawndale, NC 28090 Phone: 704-538-0432 |