Fowler, Shannon K

Fowler, Shannon K is an individual health care provider with primary practice located at 6811 Fairfield Ave , Shreveport LA 71106-3803. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fowler, Shannon K can be contacted via phone (318) 216-5088.

Contact Information

Primary practice address
6811 Fairfield Ave Shreveport LA 71106-3803
Phone: (318) 216-5088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7745 Louisiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC7745 Louisiana

Profile Details

NPI number 1194099259
LBN Legal business name Fowler, Shannon K
Credentials LPC LICENSE NO 7745
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2012
Last updated Apr 27th, 2023 - about 2 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 1194099259 NPPES
Louisiana MEDICAID 1194099259
Louisiana MEDICAID 3156148

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