Clemons, Shanequia Deshawn

Clemons, Shanequia Deshawn is an sole proprietor health care provider with primary practice located at 2180 Reese St , Lackland Afb TX 78236-1042. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Peer Specialist, Nursing Service Related Providers / Religious Nonmedical Practitioner, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Clemons, Shanequia Deshawn can be contacted via phone (305) 912-3482.

Contact Information

Primary practice address
2180 Reese St Lackland Afb TX 78236-1042
Phone: (305) 912-3482
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Texas
Other Service Providers / Peer Specialist 175T00000X Texas
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X Texas

Profile Details

NPI number 1831605765
LBN Legal business name Clemons, Shanequia Deshawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2017
Last updated Nov 23rd, 2022 - about 3 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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