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

Individual provider Psychologist · NPI 1235958836

Shentelle Marie Livan, LPA is a Psychologist in Wake Forest, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024
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Practice location Address checks out

1964 S Main St
Wake Forest, NC 27587-9336
Phone: (919) 554-0177
Fax: (919) 554-0177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4805 Green Rd Ste 103, Raleigh, NC 27616-2848 — (198) 726-2209

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6658 (NC)

Record details

NPI number1235958836
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPA
Sole proprietorNo
NPI enumeratedOctober 9, 2024
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025

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