Provider Demographics
NPI:1780882340
Name:SHEILD, MARGARET DIXON (MED, LPC)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:DIXON
Last Name:SHEILD
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3331 OPEN FIELD LN
Mailing Address - Street 2:SUITE 317
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-1045
Mailing Address - Country:US
Mailing Address - Phone:704-779-2063
Mailing Address - Fax:704-552-1493
Practice Address - Street 1:3331 OPEN FIELD LN
Practice Address - Street 2:SUITE 317
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-1045
Practice Address - Country:US
Practice Address - Phone:704-779-2063
Practice Address - Fax:704-552-1493
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5595101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103725Medicaid