MRS. SHANTEL ABRAHAM COOPER LPC
NPI 1154009306
Counselor - Professional in Petersburg, VA
Active since July 07, 2023
About Mrs. Shantel Abraham Cooper Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANTEL ABRAHAM COOPER LPC (NPI 1154009306) is an individual professional provider in Petersburg, Virginia, licensed in Virginia (0701014999) and active in the NPI registry since July 2023. She maintains 2 additional practice locations.
NPPES Registry Identity
NPI1154009306
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHANTEL ABRAHAM COOPERCredential: LPC
Location Address20 E TABB ST STE 203Petersburg, VA 23803-4560
Mailing AddressPo Box 821Petersburg, VA 23804-0821 · (804) 431-4043
Phone(804) 215-6171
Sole ProprietorNo
Enumeration DateJuly 7, 2023
Last NPPES UpdateAugust 21, 20253 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1154009306 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701014999
20 E TABB ST STE 203, Petersburg, VA 23803
Secondary Practice Locations 2
Location 19201 Arboretum PkwyNorth Chesterfield, VA 23236-5402 · Phone (804) 322-7188 ext. 6
Location 284 Southgate Sq # 1199Colonial Heights, VA 23834-3611 · Phone (804) 431-4043
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154009306, enumerated as an "individual" on July 07, 2023.
The provider is located at 20 E TABB ST STE 203 PETERSBURG, VA 23803 and the phone number is (804) 215-6171.
Counselor with taxonomy code 101YP2500X and a focus in Professional.