Mercer, Shana R

Mercer, Shana R is an sole proprietor health care provider with primary practice located at 350 Pine St Ste 760 , Beaumont TX 77701-2421. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mercer, Shana R can be contacted via phone (409) 223-1413.

Contact Information

Primary practice address
350 Pine St Ste 760 Beaumont TX 77701-2421
Phone: (409) 223-1413
Fax: (409) 203-4002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 70111 Texas

Profile Details

NPI number 1104230739
LBN Legal business name Mercer, Shana R
Credentials M.ED., LPC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2014
Last updated May 18th, 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 1104230739 NPPES
Texas MEDICAID 33853001

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