Midgette, Shana

Midgette, Shana is an sole proprietor health care provider with primary practice located at 2424 Commerce Rd , Jacksonville NC 28546-7505. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Midgette, Shana can be contacted via phone (252) 557-0444.

Contact Information

Primary practice address
2424 Commerce Rd Jacksonville NC 28546-7505
Phone: (252) 557-0444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1853 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6694 North Carolina
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1853 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1853 North Carolina

Profile Details

NPI number 1659644383
LBN Legal business name Midgette, Shana
Credentials LCAS, LCMHC, LPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2012
Last updated Dec 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659644383 NPPES
North Carolina MEDICAID 6112264

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