SHANNON LUCAS WILLIAMS (NPI# 1275736431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275736431 |
| Entity Type | Individual |
| Full Name | SHANNON LUCAS WILLIAMS |
| Credential | CRC, LPC |
| Practice Address |
645 Bells Branch Rd Newton Grove NC 28366-7585 |
| Practice Telephone | 9105940818 |
| Mailing Telephone | 9105940818 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508405952 | Shannon Williams | Technician/Technologist | 34 Birch Cir, Port Wentworth, GA 31407-3376 | 2020-01-02 |
| 1902379738 | Shannon Denese Williams | Nurse Practitioner | 4659 Slagles Lake Rd, Emporia, VA 23847-8059 | 2019-01-03 |
| 1104317148 | Shannon Williams | Case Manager/Care Coordinator | 218 Kathleen Dr, Midwest City, OK 73110-7765 | 2018-05-25 |
| 1942712310 | Shannon Marie Williams | Nurse Practitioner | 124 Regency Park Ste 7, O Fallon, IL 62269-1994 | 2017-10-25 |
| 1285171553 | Shannon P Williams | Counselor | 1358 Buckingham Dr, Hampton, GA 30228-3281 | 2017-01-25 |
| 1023551785 | Shannon Williams | Nurse Practitioner | 7416 Calder Ave, Sebastopol, CA 95472-4356 | 2016-11-29 |
| 1508228008 | Shannon Williams | Registered Nurse | Jblm North Ft Bldg 13815, Tacoma, WA 98431-0001 | 2016-03-23 |
| 1598061921 | Shannon Nicole Williams | Nurse Practitioner | 3452 Stephen Earl, Vancleave, MS 39565-7609 | 2011-02-02 |
| 1790097012 | Shannon D Williams | Specialist | 690 Brookstown Ave, Winston Salem, NC 27101-3730 | 2010-07-02 |
| 1023256658 | Shannon Leigh Williams | Speech-Language Pathologist | 330 Marean Rd, Newark Valley, NY 13811-3537 | 2009-02-04 |
| Street Address |
645 BELLS BRANCH RD |
| City | NEWTON GROVE |
| State | NC |
| Zip Code | 28366-7585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558491290 | Bonnie Hobbs Warren | Speech-Language Pathologist | 270 Britt Rd., Newton Grove, NC 28366 | 2007-03-06 |
| 1326152547 | Joey W. Williford | Pharmacist | 305 Weeks Circle, Newton Grove, NC 28366 | 2006-08-17 |
| 1588968812 | Amanda Darden Herrington | Physician Assistant | 301 Main St, Newton Grove, NC 28366 | 2010-12-30 |
| 1699878538 | Newton Grove Drug Co Inc | Pharmacy | 305 Weeks Circle, Newton Grove, NC 28366 | 2006-09-06 |
| 1447292941 | Cynthia S Vail | Physician Assistant | 301 Main St, Newton Grove, NC 28366 | 2006-06-11 |
| 1790112175 | Jimmy Lee Smith Jr. | Counselor | 194 Holiday Ln, Newton Grove, NC 28366-6295 | 2013-10-01 |
| 1720199771 | David Richard Yarasheski | Chiropractor | 233 Straw Pond School Road, Newton Grove, NC 28366-6777 | 2006-08-31 |
| 1275561839 | Enhance Therapy Services, Inc. | Occupational Therapist | 850 Straw Pond School Rd, Newton Grove, NC 28366-6788 | 2006-06-30 |
| 1619251766 | Sampson Regional Professional Services LLC | Clinic/Center | 301 Main St, Newton Grove, NC 28366-7723 | 2011-10-07 |
| 1801951926 | Rolling Ridge Retirement Center | Custodial Care Facility | 700 Mount Olive Dr, Newton Grove, NC 28366-7741 | 2006-12-27 |
| Find all providers in zip 28366 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215347 | Jean Moree | Counselor | 569 Presnell School Rd, Banner Elk, NC 28604-8306 | 2020-11-03 |
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1336749324 | Wanda V Jones | Counselor | 11634 Windy Creek Dr Apt H, Charlotte, NC 28262-1923 | 2020-10-28 |
| 1619576352 | Bianca Faith Monroe | Counselor | 111 Lamon St Ste 100, Fayetteville, NC 28301-4917 | 2020-10-23 |
| 1861091662 | Chiquitta Williams Lesene | Counselor | 407 E Fremont Street, Burgaw, NC 28425 | 2020-10-22 |
| 1841897667 | Latia Edwards Counseling Services | Counselor | 1224 Kirt Ct, Charlotte, NC 28213-5966 | 2020-10-05 |
| 1760089825 | Christine Lynn Jeffreys | Counselor | 3532 Hamilton Mill Dr, Raleigh, NC 27616-9007 | 2020-10-02 |
| 1164039863 | Kamini Wood | Counselor | 2670 Cedar Hedge Ct, Apex, NC 27523-7136 | 2020-09-26 |
| 1821604463 | Recovery Services of The Carolinas, LLC | Counselor | 10831 Pineville Rd Ste 8, Pineville, NC 28134-8137 | 2020-09-18 |
| 1841805322 | Ashley Evans | Counselor | 358 Hunting Green Dr, Jacksonville, NC 28546-9129 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
| City | NEWTON GROVE |
| Zip Code | 28366 |
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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.