SHACONYA LACOLE BORDEAUX
NPI 1437742004
Community/Behavioral Health in Council, NC
- Individual
- Female
- Community/Behavioral Health
About SHACONYA BORDEAUX
This page provides the complete NPI Profile along with additional information for Shaconya Bordeaux, a provider established in Council, North Carolina with a medical specialization in Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1437742004 assigned on February 2021. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1437742004 Verify this NPI
- Provider Name
- SHACONYA LACOLE BORDEAUX
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 54 WARREN AVE COUNCIL, NC 28434
- Location Phone
- (919) 612-1617
- Mailing Address
- 54 WARREN AVE COUNCIL, NC 28434
- Mailing Phone
- (919) 612-1617
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-15-2021
- Last Update Date
- 03-10-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437742004, enumerated as an "individual" on February 15, 2021.
The provider is located at 54 WARREN AVE COUNCIL, NC 28434 and the phone number is (919) 612-1617.
Community/Behavioral Health with taxonomy code 251S00000X.
