Mangum, Shenita Paulette

Mangum, Shenita Paulette is an individual health care provider with primary practice located at 355 S Madison Blvd Suite C1, Roxboro NC 27573-5485. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mangum, Shenita Paulette can be contacted via phone (336) 599-8366.

Contact Information

Primary practice address
355 S Madison Blvd Suite C1 Roxboro NC 27573-5485
Phone: (336) 599-8366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C010188 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-20628 North Carolina

Profile Details

NPI number 1972987972
LBN Legal business name Mangum, Shenita Paulette
Credentials LCSWA, LCASA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2015
Last updated Jul 29th, 2016 - about 8 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.

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