SHAWN BOOTH (NPI# 1376172338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376172338 |
| Entity Type | Individual |
| Full Name | SHAWN BOOTH |
| Credential | LCMHC |
| Practice Address |
111 Laporte Lane Mooresville NC 28115 |
| Practice Telephone | 5163810737 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
11215 | NC | Behavioral Health & Social Service Providers |
| Street Address |
111 LAPORTE LANE |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1629460217 | Jenny S Ryerson | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115 | 2015-02-19 |
| 1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| 1336490606 | Kerlande Ambroise-jean | Registered Nurse | 116 Wayman Rd, Mooresville, NC 28115 | 2012-09-27 |
| Find all providers in zip 28115 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984476 | Beatties Ford Road Vocational Trade Center | Counselor | 237 Dry Dock Loop, Mooresville, NC 28117-8054 | 2020-05-27 |
| 1770139842 | Diana Cristina Moscoso | Counselor | 166 Glenn Allen Rd, Mooresville, NC 28115-5808 | 2019-08-14 |
| 1184121592 | Therapy To Inner Peace - Center | Counselor | 2987 Charlotte Hwy, Mooresville, NC 28117-8052 | 2018-04-11 |
| 1972998938 | Ashley Bagwell | Counselor | 542 Williamson Rd Ste 6, Mooresville, NC 28117-9138 | 2015-04-06 |
| 1215337258 | April Rorabaugh | Counselor | 114 Morlake Dr, Mooresville, NC 28117-9208 | 2014-08-27 |
| 1578815296 | Taryn Sweeting | Counselor | 125 Overhill Dr Ste 105, Mooresville, NC 28117-8232 | 2012-10-04 |
| 1821355405 | Dishema S. Shuler | Counselor | 136 Mangum Cir, Mooresville, NC 28117-6916 | 2012-04-19 |
| 1033490404 | Pinnacle Performance Inc. | Counselor | 816 Brawley School Rd Ste F1, Mooresville, NC 28117-6202 | 2011-08-30 |
| 1215130760 | Rebecca H Rader | Counselor | 664 Brawley School Rd, Mooresville, NC 28117-9121 | 2007-06-11 |
| 1578638326 | Cindy Hickman Ray | Counselor | 146 E Mclelland Ave, Mooresville, NC 28115-2611 | 2006-11-21 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
Please comment or provide details below to improve the information on SHAWN BOOTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.