Shannon, Paula

Shannon, Paula is an sole proprietor health care provider with primary practice located at 701 Rahling Rd #1310 , Little Rock AR 72223-5280. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shannon, Paula can be contacted via phone (501) 352-4178.

Contact Information

Primary practice address
701 Rahling Rd #1310 Little Rock AR 72223-5280
Phone: (501) 352-4178
Fax: (702) 442-9615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CP1217 Nevada
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MI0880 Nevada
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 00553-LC Nevada
Behavioral Health & Social Service Providers / Professional 101YP2500X CP1217 Nevada

Profile Details

NPI number 1275937252
LBN Legal business name Shannon, Paula
Credentials LMFT, LCADC, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2014
Last updated May 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275937252 NPPES
Nevada MEDICAID 71853
Nevada MEDICAID 25004789

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