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SHACONYA LACOLE BORDEAUX
NPI 1437742004
Community/Behavioral Health in Council, NC

Active since February 15, 2021
54 WARREN AVE, COUNCIL, NC 28434(919) 612-1617 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2021, Feb 15, 2021 (2 updates tracked since 2021).

About Shaconya Lacole Bordeaux NPPES

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

SHACONYA LACOLE BORDEAUX (NPI 1437742004) is an individual community/behavioral health provider in Council, North Carolina and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1437742004
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameSHACONYA LACOLE BORDEAUX
Location Address54 WARREN AVECouncil, NC 28434-8406
Mailing Address54 Warren AveCouncil, NC 28434-8406 · (919) 612-1617
Phone(919) 612-1617
Sole ProprietorYes
Enumeration DateFebruary 15, 2021
Last NPPES UpdateMarch 10, 20212 updates tracked since enumeration
NPPES CertifiedMarch 10, 2021
✔ NPI 1437742004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
54 WARREN AVE, Council, NC 28434
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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 Shaconya Bordeaux's NPI number?

The NPI number for Shaconya Bordeaux is 1437742004. It was assigned to this individual provider in the NPPES registry on February 15, 2021.

Where is Shaconya Bordeaux located?

Shaconya Bordeaux practices at 54 Warren Ave, Council, NC 28434. The listed phone number is (919) 612-1617.

What is Shaconya Bordeaux's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Shaconya Bordeaux was last updated on March 10, 2021. 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.