Shanahan, Tammy

Shanahan, Tammy is an individual health care provider with primary practice located at 229 W Walnut St , Mayfield KY 42066-2223. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Shanahan, Tammy can be contacted via phone (270) 251-3666.

Contact Information

Primary practice address
229 W Walnut St Mayfield KY 42066-2223
Phone: (270) 251-3666
Fax: (270) 251-3506
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1775 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1775 Kentucky

Profile Details

NPI number 1821034646
LBN Legal business name Shanahan, Tammy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Aug 10th, 2011 - about 13 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 1821034646 NPPES
Kentucky MEDICAID 82000613

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