Provider Demographics
NPI:1821980111
Name:LESTER, SHAINA REESE-ANN (MED, LPC)
Entity type:Individual
Prefix:
First Name:SHAINA
Middle Name:REESE-ANN
Last Name:LESTER
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 CAMPBELL LN
Mailing Address - Street 2:
Mailing Address - City:TAZEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:24651-5387
Mailing Address - Country:US
Mailing Address - Phone:843-324-3761
Mailing Address - Fax:
Practice Address - Street 1:850 SHANNONS BRANCH RD
Practice Address - Street 2:
Practice Address - City:CEDAR BLUFF
Practice Address - State:VA
Practice Address - Zip Code:24609-8407
Practice Address - Country:US
Practice Address - Phone:276-282-4430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701015103101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional