Provider Demographics
NPI:1235608480
Name:BREWER, SHENIKA (LPC)
Entity Type:Individual
Prefix:
First Name:SHENIKA
Middle Name:
Last Name:BREWER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2231 VICTORY LN STE 700
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-6302
Mailing Address - Country:US
Mailing Address - Phone:133-445-5981
Mailing Address - Fax:
Practice Address - Street 1:2231 VICTORY LN STE 700
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-6302
Practice Address - Country:US
Practice Address - Phone:133-445-9819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-16
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3982101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional