Harris-Cobb, Shatana Shanice

Harris-Cobb, Shatana Shanice is an individual health care provider with primary practice located at 5332 Mountain Garland Ln , N Las Vegas NV 89081. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Harris-Cobb, Shatana Shanice can be contacted via phone (661) 466-8500.

Contact Information

Primary practice address
5332 Mountain Garland Ln N Las Vegas NV 89081
Phone: (661) 466-8500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1104194349
LBN Legal business name Harris-Cobb, Shatana Shanice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2011
Last updated Jan 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104194349 NPPES
Nevada Other CP5125 LCPC
Nevada Other C10297 LCPC

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