Shabazz, Shakirah Jowharah
Shabazz, Shakirah Jowharah is an sole proprietor health care provider with primary practice located at 644 Stoney Glen Cir , Winston Salem NC 27107-6246. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Contractor. Other Service Providers / Contractor is her primary health care specialty. Shabazz, Shakirah Jowharah can be contacted via phone (336) 762-2535.Contact Information
Primary practice address
644 Stoney Glen Cir
Winston Salem NC 27107-6246
Phone: (336) 762-2535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 7901 | North Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7901 | North Carolina |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 7901 | North Carolina |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 7901 | North Carolina |
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1316239353 |
|---|---|
| LBN Legal business name | Shabazz, Shakirah Jowharah |
| Credentials | MS,CRC,LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2011 |
| Last updated | Dec 26th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316239353 | NPPES |
| North Carolina | MEDICAID | 7901 |
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