JEREMY DANIEL SHAIN LPC
NPI 1972114643
Counselor - Professional in Carrollton, GA
About Jeremy Daniel Shain Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY DANIEL SHAIN LPC (NPI 1972114643) is an individual professional provider in Carrollton, Georgia and active in the NPI registry since August 2020.
NPPES Registry Identity
Specialties & Licenses
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 Jeremy Shain's NPI number?
The NPI number for Jeremy Shain is 1972114643. It was assigned to this individual provider in the NPPES registry on August 14, 2020.
Where is Jeremy Shain located?
Jeremy Shain practices at 101 Myrtle St, Carrollton, GA 30117. The listed phone number is (404) 512-4030.
What is Jeremy Shain's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
When was this NPI record last updated?
The NPPES record for Jeremy Shain was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jeremy Daniel Shain, LPC · NPI 1972114643
Professional provider in Carrollton, Georgia. Individual provider, active in the CMS NPPES registry since August 14, 2020.
## Identity
- **NPI:** 1972114643 (Entity type: Individual)
- **Enumerated:** August 14, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 MYRTLE ST, Carrollton, GA 30117-2212
- **Phone:** (404) 512-4030
## Record status
- **NPPES last updated:** August 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1972114643) · Data from the CMS NPPES public registry.