SHANNON CAMP HICKS (NPI# 1104944883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104944883 |
| Entity Type | Individual |
| Full Name | SHANNON CAMP HICKS |
| Credential | LAC |
| Practice Address |
1202 N Stateline Texarkana AR 71854-4969 |
| Practice Telephone | 8707740920 |
| Practice Fax Number | 8707740926 |
| Mailing Telephone | 8707740920 |
| Mailing Fax Number | 8707740926 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2012-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A1203020 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871143685 | Shannon Marie Hicks | Nurse Practitioner | 1109 Randolph St, Traverse City, MI 49684-2122 | 2019-09-13 |
| 1417295320 | Shannon Hicks | Counselor | 7136 Gettysburg Pike, Fort Wayne, IN 46804-5680 | 2013-01-28 |
| 1104144286 | Shannon Ashley Hicks | Social Worker | 45 Willow Street, Springfield, MA 01103 | 2010-05-13 |
| 1154460038 | Shannon Hicks | Speech-Language Pathologist | 10121 Comanche Rd Ne, Mitchell Es, Albuquerque, NM 87111-3614 | 2007-02-06 |
| 1790136901 | Shannon T. Hicks | Pediatrics | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2016-06-29 |
| 1700131414 | Shannon Miller Hicks | Physical Therapist | 6041 Garners Ferry Rd, Suite B, Columbia, SC 29209-1304 | 2012-07-18 |
| 1679835375 | Shannon Lynn Hicks | Case Manager/Care Coordinator | 721 Highway 46 S, Dickson, TN 37055-2565 | 2012-06-09 |
| 1366691917 | Shannon Kathleen Hicks | Dentist | 800 Zeagler Dr, Suite 330, Palatka, FL 32177-3883 | 2008-09-18 |
| 1659558005 | Shannon Troy Hicks | Recreation Therapist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2008-01-29 |
| 1275637613 | Shannon Ann Hicks | Counselor | 2750 S 8th St, Beaumont, TX 77701-7719 | 2006-09-07 |
| Street Address |
1202 N STATELINE |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854-4969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346597531 | Malissa Dawn Hyman | Case Manager/Care Coordinator | 1202 N Stateline, Texarkana, AR 71854 | 2012-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811553 | Patrizia Lalonde | Counselor | 4140 Mcknight Rd, Texarkana, TX 75503-0921 | 2020-01-30 |
| 1073012712 | Texarkana Counseling Services, LLC | Counselor | 2116 N State Line Ave, Texarkana, AR 71854-3583 | 2018-02-08 |
| 1598124356 | Shavon Lashelle Hill | Counselor | 1305 Arkansas Blvd, Texarkana, AR 71854-1890 | 2016-02-22 |
| 1275918625 | Ashley Freece | Counselor | 2118 N State Line Ave # Ar, Texarkana, AR 71854-3583 | 2015-07-28 |
| 1538419171 | Barbara Ann Page | Counselor | 602 Pine St, Texarkana, TX 75501-5517 | 2012-09-11 |
| 1598941361 | Robert Reed Hervey | Counselor | 64 Sam Thomas Rd, # 7, Texarkana, TX 75501-2101 | 2008-01-11 |
| 1245421502 | Philip Wayne Aaron | Counselor | 4323 Jefferson Ave, Texarkana, AR 71854-1515 | 2007-08-01 |
| 1275610024 | Gloria J Cunningham | Counselor | 1400 College Dr. Ste 204, Texarkana, TX 75503 | 2006-11-01 |
| 1720173123 | Jennifer Turner | Counselor | 5013 Pincrest Circle, Texarkana, AR 71854 | 2006-10-03 |
| 1679686414 | Nathan Edward Pearlman | Counselor | 4425 Jefferson Ave, Suite 106, Texarkana, AR 71854-1535 | 2006-08-16 |
| Find all providers in TEXARKANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.