Wallace, Shannon Mcnally
Wallace, Shannon Mcnally is an sole proprietor health care provider with primary practice located at Landstuhl Regional Medical Center Unit 33100, Apo AE 09180-3100. She recently has 2 registered licenses in different health care specialties including 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. Wallace, Shannon Mcnally can be contacted via phone (314) 590-5022.Contact Information
Primary practice address
Landstuhl Regional Medical Center Unit 33100
Apo AE 09180-3100
Phone: (314) 590-5022
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P004562 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C006865 | North Carolina |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | C006865 | North Carolina |
Profile Details
| NPI number | 1326290982 |
|---|---|
| LBN Legal business name | Wallace, Shannon Mcnally |
| Credentials | MSW, LCSW, LCAS, CCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2008 |
| Last updated | Feb 20th, 2023 - 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 | 1326290982 | NPPES |
| North Carolina | MEDICAID | 6007780 |
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