Brewer, Shannon Taylor

Brewer, Shannon Taylor is an sole proprietor health care provider with primary practice located at 132 Joe V. Knox Ave Suite 104, Mooresville NC 28117-9203. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Brewer, Shannon Taylor can be contacted via phone (704) 663-6666.

Contact Information

Primary practice address
132 Joe V. Knox Ave Suite 104 Mooresville NC 28117-9203
Phone: (704) 663-6666
Fax: (704) 663-5343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2100 North Carolina

Profile Details

NPI number 1184794448
LBN Legal business name Brewer, Shannon Taylor
Credentials MA, LPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184794448 NPPES
North Carolina Other 2100 LPC LICENSE

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