Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane Marshall Faulk, LCMHC-A

Individual provider Mental Health Counselor · NPI 1801726617

Shane Marshall Faulk, LCMHC-A is a Mental Health Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026
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Practice location Address checks out

10348 Park Rd
Charlotte, NC 28210
Phone: (704) 741-4813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A22463 (NC)

Record details

NPI number1801726617
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LCMHC-A
Sole proprietorYes
NPI enumeratedMay 22, 2026
Last updated in NPPESMay 22, 2026
Certification dateMay 13, 2026

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