Provider Demographics
NPI:1598170441
Name:RAGLAND, SHANIKA RO'SHA (LPC, LCAS-A)
Entity Type:Individual
Prefix:MRS
First Name:SHANIKA
Middle Name:RO'SHA
Last Name:RAGLAND
Suffix:
Gender:F
Credentials:LPC, LCAS-A
Other - Prefix:MISS
Other - First Name:SHANIKA
Other - Middle Name:RO'SHA
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:103 BLUEGRASS DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-2894
Mailing Address - Country:US
Mailing Address - Phone:252-864-4338
Mailing Address - Fax:
Practice Address - Street 1:669 SAGAMORE DRIVE
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549
Practice Address - Country:US
Practice Address - Phone:252-477-0008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-29
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10834101YM0800X
NC21910101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)