Shannon, Monica Buchanon
Shannon, Monica Buchanon is an individual health care provider with primary practice located at 202 Inspiration Ln , Dallas GA 30157-5011. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shannon, Monica Buchanon can be contacted via phone (404) 396-8620.Contact Information
Primary practice address
202 Inspiration Ln
Dallas GA 30157-5011
Phone: (404) 396-8620
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW005094 | Georgia |
Profile Details
NPI number | 1992432355 |
---|---|
LBN Legal business name | Shannon, Monica Buchanon |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2022 |
Last updated | Jan 28th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992432355 | NPPES |
Georgia | MEDICAID | 359863 |
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