Provider Demographics
NPI:1003786120
Name:RAINES, SHERAL LAVON
Entity type:Individual
Prefix:DR
First Name:SHERAL
Middle Name:LAVON
Last Name:RAINES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 29
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28390-0029
Mailing Address - Country:US
Mailing Address - Phone:910-658-6808
Mailing Address - Fax:
Practice Address - Street 1:501 EVA CIR
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NC
Practice Address - Zip Code:28390-2705
Practice Address - Country:US
Practice Address - Phone:910-339-7116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral