IndividualActive
Antwynette Shields, DPC, LPC, NCC, CMHT
NPI 1851880470 · Professional Counselor · Brandon, MS
Provider details
- NPI number
- 1851880470
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- DPC, LPC, NCC, CMHT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2246 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
32103 Majesty Ln
Brandon, MS 39042-2599
Phone: (228) 563-4670
Approximate (ZIP-level) locationGet directions
Mailing address
280 Television Rd
Columbus, MS 39705-8006
Registry dates
- Enumerated
- 2018-05-09
- Last updated
- 2018-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.