Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Kersey, Lpa

Organization Clinical Child & Adolescent Psychologist · NPI 1164708228

Shannon Kersey, Lpa is a Clinical Child & Adolescent Psychologist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011

Practice location Address checks out

4425 Randolph Rd Ste 208
Charlotte, NC 28211-2351
Phone: (704) 323-6586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 2531 (NC)

Record details

NPI number1164708228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Kersey — Sole Proprietor · (704) 323-6586
NPI enumeratedNovember 2, 2011
Last updated in NPPESNovember 2, 2011
Mailing address4425 Randolph Rd, Suite 208, Charlotte, NC 28211-2351

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