Provider Demographics
NPI:1992525257
Name:MARSH, SHEENA SCHNELL (LCMHCA)
Entity type:Individual
Prefix:
First Name:SHEENA
Middle Name:SCHNELL
Last Name:MARSH
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 EXECUTIVE CENTER DR STE 215
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-8823
Mailing Address - Country:US
Mailing Address - Phone:980-613-8312
Mailing Address - Fax:
Practice Address - Street 1:5501 EXECUTIVE CENTER DR STE 215
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-8823
Practice Address - Country:US
Practice Address - Phone:980-613-8312
Practice Address - Fax:888-972-4998
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20675101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional