BOBBIE H SHANNON LPC NPI 1306872650

NPI Information

NPI: 1306872650
Provider Name: BOBBIE H SHANNON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2143 WARRIOR DR
TRYON, NC
ZIP 28782
Phone: (864) 457-6315
Get Directions

Bobbie H Shannon, LPC is a professional counselor in Tryon, NC. Bobbie H Shannon, LPC NPI is 1306872650. 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:

2143 WARRIOR DR
TRYON, NC
ZIP 28782-571
Phone: (864) 457-6315

The enumeration date for this NPI number is 6/25/2006 and was last updated on 4/21/2020.

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	101YP2500X	Counselor	Professional	2220	NORTH CAROLINA	Yes
2	101YP2500X	Counselor	Professional	5692	SOUTH CAROLINA	No

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	461853	OTHER	NORTH CAROLINA	MHN TRICARE
2	186133	OTHER	NORTH CAROLINA	MEDCOST
3	P1425	MEDICAID	SOUTH CAROLINA
4	1406T	OTHER	NORTH CAROLINA	NVML BCBSNC GRP # 015HF

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: 5/5/2024

NPI Synchronization or Removal

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