Doctor Name: | MR. PARAMOUNT LEE SHAW |
NPI Number: | 1093072258 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC/MASTERS |
License Number: | 5462 |
Business Practice Address: | 5500 Executive Center Dr Ste 106 Charlotte, NC - 282128851 |
Business Phone Number: | 8648627384 |
Business Fax Number: | 9802247948 |
Mailing Address: | 815 Hellams St, FOUNTAIN INN |
State: | SC |
Postal Code: | 296449445 |
Phone Number: | 8648627384 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2012 |
NPI Last Update Date: | 04/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 5462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |