Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Latasha Shawntay McIlwaine, MA, MHA, LPC, LCAS

Individual provider Counselor · NPI 1063631331

Latasha Shawntay McIlwaine, MA, MHA, LPC, LCAS is a Mental Health Counselor in Charlotte, North Carolina. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
MHA — Master of Health Administration
A graduate degree in health management.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1409 E Blvd Ste 6B
Charlotte, NC 28203-5817
Phone: (704) 340-4666
Fax: (704) 969-7298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6691 (NC)
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1296 (NC)

Record details

NPI number1063631331
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , MHA , LPC , LCAS
Sole proprietorYes
NPI enumeratedApril 25, 2007
Last updated in NPPESMarch 28, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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