Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHACONYA LACOLE BORDEAUX
Active Sole ProprietorSHACONYA LACOLE BORDEAUX is a Community/Behavioral Health healthcare provider located in COUNCIL, North Carolina. NPI 1437742004 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · COUNCIL, NC
Registration Details
- NPI Number
- 1437742004
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2021 (5.5259559140215 yrs)
- Last Updated
- Mar 10, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
54 WARREN AVECOUNCIL, NC, 284348406Browse NC providers · Browse ZIP 28434
- Phone
- 9196121617
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.