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SHANTREZE DESHAE ANDERSON
NPI 1306202007
Counselor - Professional in Lagrange, GEORGIA

Active since January 11, 2016
102 MAIN STREET, SUITE 228, LAGRANGE, GEORGIA 30240(678) 547-0495 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shantreze Deshae Anderson NPPES

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

SHANTREZE DESHAE ANDERSON (NPI 1306202007) is an individual professional provider in Lagrange, GEORGIA and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1306202007
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANTREZE DESHAE ANDERSON
Location Address102 MAIN STREET, SUITE 228Lagrange, GEORGIA 30240
Mailing Address114 Jasmine LnLagrange, GA 30241-8358 · (706) 616-4325
Phone(678) 547-0495
Sole ProprietorNo
Enumeration DateJanuary 11, 2016
✔ NPI 1306202007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
102 MAIN STREET, Lagrange, GEORGIA 30240
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Other Names 1

Former Name (1)Shantreze Deshae Russell

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 Shantreze Anderson's NPI number?

The NPI number for Shantreze Anderson is 1306202007. It was assigned to this individual provider in the NPPES registry on January 11, 2016. The provider is also known as Shantreze Deshae Russell.

Where is Shantreze Anderson located?

Shantreze Anderson practices at 102 Main Street Suite 228, Lagrange, GEORGIA 30240. The listed phone number is (678) 547-0495.

What is Shantreze Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Shantreze Anderson was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.