Provider Demographics
NPI:1770468167
Name:DASHIELL, SHAKEMA TERRELL (MS, MA, LAPC)
Entity type:Individual
Prefix:
First Name:SHAKEMA
Middle Name:TERRELL
Last Name:DASHIELL
Suffix:
Gender:F
Credentials:MS, MA, LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3005 CHAPEL AVE W APT 12W
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-3841
Mailing Address - Country:US
Mailing Address - Phone:302-480-5919
Mailing Address - Fax:
Practice Address - Street 1:3005 CHAPEL AVE W APT 12W
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-3841
Practice Address - Country:US
Practice Address - Phone:302-480-5919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC001484101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty