MRS. SHANTA AVALICE JERIDEAU LPC
NPI 1316290901
Counselor - Mental Health in Columbia, SC
About Mrs. Shanta Avalice Jerideau Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANTA AVALICE JERIDEAU LPC (NPI 1316290901) is an individual mental health provider in Columbia, South Carolina and active in the NPI registry since October 2012.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBIA, SC 29223
COLUMBIA, SC 29223
COLUMBIA, SC 29223
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 Shanta Jerideau's NPI number?
The NPI number for Shanta Jerideau is 1316290901. It was assigned to this individual provider in the NPPES registry on October 19, 2012.
Where is Shanta Jerideau located?
Shanta Jerideau practices at 200 Springtree Dr Ste 200, Columbia, SC 29223. The listed phone number is (803) 722-4975.
What is Shanta Jerideau's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Shanta Jerideau was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.