SHANEQWA CREDLE
NPI 1194232140
Counselor in Daytona Beach, FL

Active since December 29, 2017
1823 BUSINESS PARK BLVD, DAYTONA BEACH, FL 32114(386) 254-1931 Get Directions Write a Review

NPPES record last updated: December 29, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shaneqwa Credle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANEQWA CREDLE (NPI 1194232140) is an individual counselor in Daytona Beach, Florida and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1194232140
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHANEQWA CREDLE
Location Address1823 BUSINESS PARK BLVDDaytona Beach, FL 32114-1230
Mailing Address1823 Business Park BlvdDaytona Beach, FL 32114-1230 · (386) 254-1931
Sole ProprietorNo
Enumeration DateDecember 29, 2017
NPI 1194232140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1823 BUSINESS PARK BLVD, Daytona Beach, FL 32114

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1823 BUSINESS PARK BLVD
DAYTONA BEACH, FL 32114
Psychologist (Addiction (Substance Use Disorder))
1823 BUSINESS PARK BLVD
DAYTONA BEACH, FL 32114
Counselor
1823 BUSINESS PARK BLVD
DAYTONA BEACH, FL 32114
Counselor (Addiction (Substance Use Disorder))
1823 BUSINESS PARK BLVD
DAYTONA BEACH, FL 32114
Counselor (Addiction (Substance Use Disorder))
1823 BUSINESS PARK BLVD
DAYTONA BEACH, FL 32114
Counselor (Addiction (Substance Use Disorder))
1823 BUSINESS PARK BLVD
DAYTONA BEACH, FL 32114
Counselor
1823 BUSINESS PARK BLVD
DAYTONA BEACH, FL 32114
Clinic/Center (Methadone)
1823 BUSINESS PARK BLVD
DAYTONA BEACH, FL 32114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaneqwa Credle's NPI number?

The NPI number for Shaneqwa Credle is 1194232140. It was assigned to this individual provider in the NPPES registry on December 29, 2017.

Where is Shaneqwa Credle located?

Shaneqwa Credle practices at 1823 Business Park Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 254-1931.

What is Shaneqwa Credle's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shaneqwa Credle was last updated on December 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.