Provider Demographics
NPI:1962868505
Name:WADE, SHAYNA DIAZ (LCMHC, LCAS, LPC)
Entity type:Individual
Prefix:MS
First Name:SHAYNA
Middle Name:DIAZ
Last Name:WADE
Suffix:
Gender:F
Credentials:LCMHC, LCAS, LPC
Other - Prefix:
Other - First Name:SHAYNA
Other - Middle Name:JOY
Other - Last Name:DIAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 WILSON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1512
Mailing Address - Country:US
Mailing Address - Phone:802-222-7588
Mailing Address - Fax:
Practice Address - Street 1:16 WILSON CREEK DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1512
Practice Address - Country:US
Practice Address - Phone:802-222-7588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-12
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-28067101YA0400X
ORC5598101YM0800X
NC17510101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)