Shannon, Latasha
Shannon, Latasha is an individual health care provider with primary practice located at 447 Forest Ave Ste 1 , Plymouth MI 48170-1721. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), 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. Shannon, Latasha can be contacted via phone (734) 635-3499.Contact Information
Primary practice address
447 Forest Ave Ste 1
Plymouth MI 48170-1721
Phone: (734) 635-3499
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C-02511 | Michigan |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801089411 | Michigan |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6801089411 | Michigan |
Profile Details
NPI number | 1669754271 |
---|---|
LBN Legal business name | Shannon, Latasha |
Credentials | LMSW, CAADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2011 |
Last updated | Mar 31st, 2020 - about 4 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.
Popular Providers
-
Gilbert, Bianca
105 N Haggerty Rd , Plymouth MI 48170-1801 -
Stevens, Valerie
340 N Main St Ste 200 , Plymouth MI 48170-1250 -
Segal, Laura Spitz
199 N Main St Suite 202, Plymouth MI 48170-1272 -
Jagusch, Jennifer
9409 N Haggerty Rd , Plymouth MI 48170-4696 -
Lucky, Najean
1098 Ann Arbor Road West Suite 588, Plymouth MI 48170 -
Hornbuckle, Patrice
575 S Main St , Plymouth MI 48170-1778 -
Fornwalt, Kelly
271 S Main St , Plymouth MI 48170-1637 -
Moffitt, Anthony
39715 Greenview Pl Apt 3 , Plymouth MI 48170-4564