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

Mrs. Beverly Dyshanne Booker, LCMHA

Individual provider Professional Counselor · NPI 1083436018

Mrs. Beverly Dyshanne Booker, LCMHA is a Professional Counselor in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024

Practice location Address checks out

3333 Brookview Hills Blvd Ste 205
Winston Salem, NC 27103-5661
Phone: (336) 261-6440
Fax: (336) 232-1436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A20095 (NC)

Record details

NPI number1083436018
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHA
Sole proprietorYes
NPI enumeratedOctober 30, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

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