Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHAVONICA DIONNE STEVENSON
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · GREENSBORO, NC
Registration Details
- NPI Number
- 1649432295
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 25, 2008 (17.824577768894 yrs)
- Last Updated
- Jun 25, 2008
- License
-
MHL-041-862 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1910 MCKNIGHT MILL RDGREENSBORO, NC, 274053908Browse NC providers · Browse ZIP 27405
- Phone
- 3362555576
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
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.