Provider Demographics
NPI:1821650631
Name:MCARN, DONTAY SHAWMONICK (LCMHC)
Entity Type:Individual
Prefix:
First Name:DONTAY
Middle Name:SHAWMONICK
Last Name:MCARN
Suffix:
Gender:F
Credentials:LCMHC
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 2774
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28359-2774
Mailing Address - Country:US
Mailing Address - Phone:910-736-1201
Mailing Address - Fax:
Practice Address - Street 1:182 RASPBERRY LN
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28360-9375
Practice Address - Country:US
Practice Address - Phone:910-802-0218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-01
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14688101Y00000X, 101YM0800X
NC14688101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor