Provider Demographics
NPI:1225390545
Name:MAUNEY, SHENICKIE LASHEA (MS, NCC, LPCA)
Entity Type:Individual
Prefix:MS
First Name:SHENICKIE
Middle Name:LASHEA
Last Name:MAUNEY
Suffix:
Gender:F
Credentials:MS, NCC, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 E HUDSON BLVD
Mailing Address - Street 2:APT. U
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-6105
Mailing Address - Country:US
Mailing Address - Phone:704-974-3399
Mailing Address - Fax:
Practice Address - Street 1:1216 E HUDSON BLVD
Practice Address - Street 2:APT. U
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-6105
Practice Address - Country:US
Practice Address - Phone:704-974-3399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA7798101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional