SHADOWS COMMUNITY SUPPORT CENTER
NPI 1700909454
Counselor - Mental Health in Robersonville, NC

Q: What is Gloria Crandell-Nelson's NPI number?

The NPI number for Gloria Crandell-Nelson is 1700909454. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is doing business as Shadows Community Support Center.

Q: What is Gloria Crandell-Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since April 09, 2007

7356 US HIGHWAY 64, ROBERSONVILLE, NC 27871(252) 795-6662(252) 795-6696 Get Directions Write a Review

NPPES record last updated: July 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shadows Community Support Center NPPES

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

SHADOWS COMMUNITY SUPPORT CENTER (NPI 1700909454) is a healthcare organization registered as a mental health in Robersonville, North Carolina and active in the NPI registry since April 2007. The organization lists Gloria Crandell-nelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700909454

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameGLORIA CRANDELL-NELSON

Location Address7356 US HIGHWAY 64Robersonville, NC 27871-9073

Mailing Address7356 Hwy 64 ERobersonville, NC 27871-0278 · (252) 795-6662 · Fax (252) 795-6696

Phone(252) 795-6662

Fax(252) 795-6696

Organization SubpartNo

Authorized OfficialGloria Crandell-nelsonCeo · (252) 795-6662

Enumeration DateApril 9, 2007

Last NPPES UpdateJuly 20, 2010

✔ NPI 1700909454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

7356 US HIGHWAY 64, Robersonville, NC 27871

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Other Names 1

Doing Business AsShadows Community Support Center

Other Identifiers 3

Medicaid6006991NC

Medicaid8301939NC

Medicaid5950083NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROSOURCE THERAPEUTICS, LLC

Social Worker (Clinical)

7356 US HIGHWAY 64
ROBERSONVILLE, NC 27871

Martin County (252) 353-7025

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 Gloria Crandell-Nelson's NPI number?

The NPI number for Gloria Crandell-Nelson is 1700909454. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is doing business as Shadows Community Support Center.

Where is Gloria Crandell-Nelson located?

Gloria Crandell-Nelson is located at 7356 Us Highway 64, Robersonville, NC 27871. The listed phone number is (252) 795-6662.

What is Gloria Crandell-Nelson'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 Gloria Crandell-Nelson was last updated on July 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.