Griffith-Mcclellan, Shadese Lisa

Griffith-Mcclellan, Shadese Lisa is an sole proprietor health care provider with primary practice located at 125 Overhill Dr Ste 105 , Mooresville NC 28117-8232. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Griffith-Mcclellan, Shadese Lisa can be contacted via phone (980) 430-9205.

Contact Information

Primary practice address
125 Overhill Dr Ste 105 Mooresville NC 28117-8232
Phone: (980) 430-9205
Fax: (704) 799-8949
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-A -21455 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X P015291 North Carolina

Profile Details

NPI number 1104163625
LBN Legal business name Griffith-Mcclellan, Shadese Lisa
Credentials LCSW-A,MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2013
Last updated Feb 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104163625 NPPES
North Carolina MEDICAID 1104163625

Popular Providers