PAULA SHANNON LMFT LCADC LCPC NPI 1275937252

NPI Information

NPI: 1275937252
Provider Name: PAULA SHANNON, LMFT, LCADC, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
701 RAHLING RD APT 1310
LITTLE ROCK, AR
ZIP 72223
Phone: (501) 352-4178
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Paula Shannon, LMFT, LCADC, LCPC is a professional counselor in Little Rock, AR. Paula Shannon, LMFT, LCADC, LCPC NPI is 1275937252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

701 RAHLING RD APT 1310
LITTLE ROCK, AR
ZIP 72223-280
Phone: (501) 352-4178
Fax: (702) 442-9615

The enumeration date for this NPI number is 10/20/2014 and was last updated on 1/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	00553-LC	NEVADA	No
2	101YM0800X	Counselor	Mental Health	CP1217	NEVADA	No
3	106H00000X	Marriage & Family Therapist		MI0880	NEVADA	No
4	101YP2500X	Counselor	Professional	CP1217	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	25004789	MEDICAID	NEVADA
2	71853	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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