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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 months 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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