Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kristina Nichole Taylor Clemmons, LCMHC, LCAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1467743930

Mrs. Kristina Nichole Taylor Clemmons, LCMHC, LCAS is an Addiction (Substance Use Disorder) Counselor in Shallotte, North Carolina. Practices as a sole proprietor and works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2011
Specialties on file
4
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Practice location Address checks out

120 Coastal Horizons Dr
Shallotte, NC 28470-6094
Phone: (910) 754-4515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4036 Bus 17 East Bldg 600, Bolivia, NC 28422-2842 — (910) 703-8800
  • 6 Doctors Cir Ste 1, Supply, NC 28462-6358 — (910) 754-4233

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8665 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 3394 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence A8665 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 8665 (NC)

Record details

NPI number1467743930
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC , LCAS
Sole proprietorYes
NPI enumeratedMay 2, 2011
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 12, 2023

Other providers in Shallotte