Williams, Shannon Renee

Williams, Shannon Renee is an individual health care provider with primary practice located at 9500 Arena Dr Ste 460B , Largo MD 20774-3755. She 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 her primary health care specialty. Williams, Shannon Renee can be contacted via phone (301) 627-0568.

Contact Information

Primary practice address
9500 Arena Dr Ste 460B Largo MD 20774-3755
Phone: (301) 627-0568
Fax: (301) 841-8011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC1245 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC1245 Maryland

Profile Details

NPI number 1720130297
LBN Legal business name Williams, Shannon Renee
Credentials PH.D., LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Mar 17th, 2018 - about 6 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720130297 NPPES
Maryland MEDICAID 013226800

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