Ommaha, Shannon Elise

Ommaha, Shannon Elise is an individual health care provider with primary practice located at 6600 Van Aalst Blvd , Fort Benning GA 31905-2102. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Ommaha, Shannon Elise can be contacted via phone (706) 545-3172.

Contact Information

Primary practice address
6600 Van Aalst Blvd Fort Benning GA 31905-2102
Phone: (706) 545-3172
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW.09925535 Colorado
Behavioral Health & Social Service Providers / Social Worker 104100000X CSW.09925535 Colorado

Profile Details

NPI number 1760850697
LBN Legal business name Ommaha, Shannon Elise
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2015
Last updated Dec 28th, 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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