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

Shetara Rucker, LCMHCA

Individual provider Mental Health Counselor · NPI 1588347520

Shetara Rucker, LCMHCA 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
2023

Practice location Address checks out

10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001
Phone: (704) 469-7456
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A18904 (NC)

Record details

NPI number1588347520
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCA
Sole proprietorYes
NPI enumeratedAugust 8, 2023
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

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