Smith, Shannon
Smith, Shannon is an sole proprietor health care provider with primary practice located at 2520 Saint Rose Pkwy Ste 110 , Henderson NV 89074-7784. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Smith, Shannon can be contacted via phone (725) 290-1238.Contact Information
Primary practice address
2520 Saint Rose Pkwy Ste 110
Henderson NV 89074-7784
Phone: (725) 290-1238
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0003348 | Ohio |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CP0033 | Nevada |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0033 | Nevada |
Profile Details
| NPI number | 1578835971 |
|---|---|
| LBN Legal business name | Smith, Shannon |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2012 |
| Last updated | Apr 5th, 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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