Provider Demographics
NPI:1275683674
Name:ALDERMAN, SHAY LYNN (LMFT, LPC, LPCC, NCC)
Entity Type:Individual
Prefix:
First Name:SHAY
Middle Name:LYNN
Last Name:ALDERMAN
Suffix:
Gender:F
Credentials:LMFT, LPC, LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 161
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-0161
Mailing Address - Country:US
Mailing Address - Phone:919-923-7414
Mailing Address - Fax:888-868-4875
Practice Address - Street 1:53 1/2 HILLSBORO ST.
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312
Practice Address - Country:US
Practice Address - Phone:919-923-7414
Practice Address - Fax:888-868-4875
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPC735101YP2500X
MO2010037686106H00000X
NC10913101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist