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SHEREKA SHAW, LPC
NPI 1619363884
Community/Behavioral Health in Jonesboro, GA

Active since April 14, 2015
9421 FOREST KNOLL DR, JONESBORO, GA 30238(404) 234-4570 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shereka Shaw, Lpc NPPES

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

SHEREKA SHAW, LPC (NPI 1619363884) is a healthcare organization registered as a community/behavioral health in Jonesboro, Georgia and active in the NPI registry since April 2015. The organization lists Shereka Shunta' Shaw, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1619363884
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSHEREKA SHAW, LPC
Location Address9421 FOREST KNOLL DRJonesboro, GA 30238-5755
Mailing Address9421 Forest Knoll DrJonesboro, GA 30238-5755 · (404) 234-4570
Phone(404) 234-4570
Organization SubpartNo
Authorized OfficialShereka Shunta' ShawLicensed Professional Counselor · (404) 234-4570
Enumeration DateApril 14, 2015
✔ NPI 1619363884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in GA · LPC007419
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.
Also ListedCase ManagementTaxonomy 251B00000X · License LPC007419 (GA)
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X · License LPC007419 (GA)
Also ListedPreferred Provider OrganizationTaxonomy 305R00000X · License LPC007419 (GA)
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X · License LPC007419 (GA)
9421 FOREST KNOLL DR, Jonesboro, GA 30238
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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 Shereka Shaw, Lpc's NPI number?

The NPI number for Shereka Shaw, Lpc is 1619363884. It was assigned to this organization in the NPPES registry on April 14, 2015.

Where is Shereka Shaw, Lpc located?

Shereka Shaw, Lpc is located at 9421 Forest Knoll Dr, Jonesboro, GA 30238. The listed phone number is (404) 234-4570.

What is Shereka Shaw, Lpc'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 Shereka Shaw, Lpc was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.