PHILLIP MICHAEL SHOE


Address: 6512 Six Forks Rd, Suite 403b, Raleigh, NC 27615-6561
Phone: 9195782949

PHILLIP MICHAEL SHOE (NPI# 1912316084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912316084
Entity Type Individual
Full Name PHILLIP MICHAEL SHOE
Credential MDIV, THM, LPCA, NCC
Practice Address 6512 Six Forks Rd
Suite 403b
Raleigh
NC 27615-6561
Practice Telephone 9195782949
Mailing Telephone 9195782949
Enumeration Date 2014-08-04
Last Update Date 2015-01-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
A10502 NC Behavioral Health & Social Service Providers

Office Location

Street Address 6512 SIX FORKS RD
SUITE 403B
City RALEIGH
State NC
Zip Code 27615-6561

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245287416 Lawrence Blelloch Physician Assistant 6512 Six Forks Rd, Suite 102b, Raleigh, NC 27615-6561 2006-05-31
1043767247 Comprehensive Health Solutions Community/Behavioral Health 6512 Six Forks Rd, Ste # 402, Raleigh, NC 27615-6561 2016-09-06
1194270744 Walt Fritz, Lpc, LLC Counselor 6512 Six Forks Rd, Suite 104, Raleigh, NC 27615-6561 2016-08-23
1548714108 Jaleh Neshat Home Health 6512 Six Forks Rd, Ste. 205, Raleigh, NC 27615-6561 2016-08-11
1487007563 Vida Counseling, Pllc Counselor 6512 Six Forks Rd, Suite 403b, Raleigh, NC 27615-6561 2016-07-13
1144686130 Anna Clare Smith Social Worker 6512 Six Forks Rd, Suite 200, Raleigh, NC 27615-6561 2016-01-07
1104222322 Lauren Lambertus Warren Counselor 6512 Six Forks Rd, Suite 200, Raleigh, NC 27615-6561 2014-11-16
1962803627 Maxwell Kirn Social Worker 6512 Six Forks Rd, Suite 200, Raleigh, NC 27615-6561 2014-09-11
1215355896 Kristin Mastro Counselor 6512 Six Forks Rd, Suite 403b, Raleigh, NC 27615-6561 2014-04-01
1134556186 Assurance Home Care LLC In Home Supportive Care 6512 Six Forks Rd, Suite 502b, Raleigh, NC 27615-6561 2013-10-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588278535 Emily Grace Johnson Behavior Technician 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 2020-09-06
1730706110 Maja V Martin, Dds, Pa1 Clinic/Center 7371 Six Forks Road, Raleigh, NC 27615 2020-07-01
1972146967 Atlantic Avenue Pharmaceutical, Inc Pharmacy 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 2019-10-22
1023503950 Siyara Shannay Dobbs Social Worker 7013 Woodbend Dr Apt H, Raleigh, NC 27615 2018-06-23
1194210153 Brittanie Ja'nell Harris Dentist 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 2018-06-22
1710489448 Sherise Swensen Social Worker 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 2018-03-08
1881100345 Casey Paul Baine Counselor 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 2017-12-20
1588177885 Michael Lacidonia Acupuncturist 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 2017-11-08
1457877631 Matt Henderson Behavioral Analyst 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 2017-08-18
1760907646 Shakeda Muldrow Social Worker 7323 Brookbank Lane, Raleigh, NC 27615 2017-08-11
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861007759 James Carroll Pittman IIi Counselor 2301 Stonehenge Dr Ste 110, Raleigh, NC 27615-4379 2020-09-09
1043820715 Keep Counsel Counselor 8320 Hardeth Way, Raleigh, NC 27616-3237 2020-08-06
1023647047 Lets Cope Counseling Services Pllc Counselor 1631 Midtown Pl Ste 104-126, Raleigh, NC 27609-1300 2020-04-02
1841834785 Vernetta J Davis Counselor 6604 Six Forks Rd Ste 101, Raleigh, NC 27615-6521 2019-11-04
1053955187 Kelsie Ann Adkisson Counselor 5171 Glenwood Ave Ste 221, Raleigh, NC 27612-3266 2019-10-31
1841841012 Galana Tennille Chookolingo Counselor 1123 Ileagnes Rd, Raleigh, NC 27603-2378 2019-09-27
1720639917 Kelly Marie Nelson Counselor 205 Delway St Unit A, Raleigh, NC 27604-1131 2019-09-27
1720649890 Maryann Kathryn Garcia Counselor 5805 Hampton Ridge Rd, Raleigh, NC 27603-9259 2019-06-27
1568929503 Kelly Harrison Counseling Pllc Counselor 3200 Wake Forest Rd Ste 204, Raleigh, NC 27609-7451 2019-02-26
1639645278 Donald G Wiggins Counselor 7516 Longstreet Dr, Raleigh, NC 27615-6131 2018-10-22
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Competitor

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City RALEIGH
Zip Code 27615

Improve Information

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Dataset Information

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.

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