Provider Demographics
NPI:1902578297
Name:HUNTER-GIBBS, SHENEICA (LCMHC-A, NCC)
Entity Type:Individual
Prefix:MRS
First Name:SHENEICA
Middle Name:
Last Name:HUNTER-GIBBS
Suffix:
Gender:F
Credentials:LCMHC-A, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10320 ASH HOLLOW DR APT 307
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-1874
Mailing Address - Country:US
Mailing Address - Phone:919-612-8668
Mailing Address - Fax:
Practice Address - Street 1:10320 ASH HOLLOW DR APT 307
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-1874
Practice Address - Country:US
Practice Address - Phone:919-612-8668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15864101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health