Provider Demographics
NPI:1518204742
Name:SHINGLETON, TAMMY VIRGINIA (LPCA)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:VIRGINIA
Last Name:SHINGLETON
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 VALDESE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-2905
Mailing Address - Country:US
Mailing Address - Phone:828-608-0867
Mailing Address - Fax:828-608-0951
Practice Address - Street 1:210 VALDESE AVE STE A
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-2905
Practice Address - Country:US
Practice Address - Phone:828-608-0867
Practice Address - Fax:704-608-0951
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9877101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty