DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHAKETHA BLANKENSHIP, PHD, LPC, NCC

Active Sole Proprietor

DR. SHAKETHA BLANKENSHIP, PHD, LPC, NCC is a Professional Counselor healthcare provider located in VILLA RICA, Georgia. NPI 1689242745 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · VILLA RICA, GA

Registration Details

NPI Number
1689242745
Provider Type
Individual
Gender
Female
NPI Issued
Jun 15, 2021 (5.145076143118 yrs)
Last Updated
Jun 15, 2021
Licenses
391660 (GA)
LPC008522 (GA)
Sole Proprietor
Yes

Practice Information

Address
2026 BARRINGTON LN
VILLA RICA, GA, 301806954
Browse GA providers · Browse ZIP 30180
Phone
4044097361
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in VILLA RICA, GA

Name Credential NPI
MS. SHERRI J. MCCOY L.P.C. 1154393718
KAREN L. WOLFE M.A. 1730268152
ERIC L. DANSBY LPC 1144375254
DR. REBECCA ANN STANARD PH.D. LPC 1902930134
MRS. DANA MICHELLE NUMMERDOR M.A., LPC, NCC 1144425307
MRS. JENNIFER BENSON GRIZZARD LPC 1336344456
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.