Latasha Shawntay Mcilwaine
MA, MHA, LPC, LCAS | Counselor
1409 East Blvd, Suite 6b, Charlotte
North Carolina, 28203-5817
704-340-4666 704-969-7298
Maps & DirectionsLatasha Shawntay Mcilwaine is a Charlotte, North Carolina based counselor who is specialized as Counselor. Active license number of Latasha Shawntay Mcilwaine is 6691 for Professional Counselor in North Carolina. Her current practice location is 1409 East Blvd, Suite 6b, Charlotte. Patients can book an appointment with her at 704-340-4666.
Latasha Shawntay Mcilwaine is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. She works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. She support her clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Latasha Shawntay Mcilwaine speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Latasha Shawntay Mcilwaine |
| Specialization: | Counselor |
| Gender: | Female |
| Credentials: | MA, MHA, LPC, LCAS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1409 East Blvd, Suite 6b, Charlotte,
North Carolina, 28203-5817 |
| Phone: | 704-340-4666 |
| Fax: | 704-969-7298 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1063631331 |
| NPI Enumeration Date: | 25 Apr, 2007 |
| NPI Last Update On: | 28 Mar, 2009 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Latasha Shawntay Mcilwaine are as mentioned below.
| License Number | Specialization | State | Status | |
| 6691 | Professional Counselor | North Carolina | Primary | |
| Counselor | | Secondary | |
| 1296 | Addiction (Substance Use Disorder) Counselor | North Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Latasha Shawntay Mcilwaine such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 6103719 | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 743,
Paw Creek, North Carolina |
| Zip: | 28130-0743 |
| Phone Number: | 704-340-4666 |
| Fax Number: | 704-969-7298 |
Patients can reach Latasha Shawntay Mcilwaine at
1409 East Blvd, Suite 6b, Charlotte, North Carolina or can
call to book an appointment on 704-340-4666.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.