Shasta Douglas, MSW

NPI 1265309611 · on the registry since 2025 · sole proprietor

Practice

Address: 10300 Eaton Pl Ste 440
Fairfax, VA 22030
Phone: (256) 717-4095
Organisation at this address: Iqgenetix Llc
Mzg Counseling, Llc
Premium Care Usa Llc
Home Infusion Solutions Llc
Carewell Counseling Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia