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

Shani Porter

Individual provider Mental Health Counselor · NPI 1164089504

Shani Porter is a Mental Health Counselor in Statesboro, Georgia. Works from 3 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
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Practice location Address checks out

24 Joe Kennedy Blvd Ste 13
Statesboro, GA 30458-3113
Phone: (912) 208-2024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 247 S Stone St, Deland, FL 32720-5233 — (407) 669-5363
  • 4620 N State Road 7 Ste 300, Lauderdale Lakes, FL 33319-5867 — (407) 669-5363

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Mental Health Counselor Taxonomy 101YM0800X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1164089504
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 21, 2019
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024
Mailing address2805 S Industrial Hwy Ste 100, Ann Arbor, MI 48104-6791

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