Provider Demographics
NPI:1083101182
Name:SHOEMAKE, JOSHUA PETER (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:PETER
Last Name:SHOEMAKE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 1ST ST N STE 250
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-9071
Mailing Address - Country:US
Mailing Address - Phone:205-624-2422
Mailing Address - Fax:205-624-3091
Practice Address - Street 1:122 1ST ST S
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8978
Practice Address - Country:US
Practice Address - Phone:205-624-2422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-16
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor