Latasha 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. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.