Provider Demographics
NPI:1669796157
Name:STRICKLAND, SHANDA SHELLEY (LPC/S)
Entity type:Individual
Prefix:MRS
First Name:SHANDA
Middle Name:SHELLEY
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:LPC/S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5445 HINSONS CROSSROADS
Mailing Address - Street 2:
Mailing Address - City:FAIR BLUFF
Mailing Address - State:NC
Mailing Address - Zip Code:28439-9692
Mailing Address - Country:US
Mailing Address - Phone:843-421-5236
Mailing Address - Fax:
Practice Address - Street 1:10698 OCEAN HWY STE 100
Practice Address - Street 2:
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585-8758
Practice Address - Country:US
Practice Address - Phone:843-606-0516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-26
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5128101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional