MS. TERESA Z SHANNON (NPI# 1538120852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538120852 |
| Entity Type | Individual |
| Full Name | MS. TERESA Z SHANNON |
| Other Name | MS. TERESA Z ESTES |
| Credential | LMHC |
| Practice Address |
1332 Deerpath Rd Chipley FL 32428-5847 |
| Practice Telephone | 8505737747 |
| Mailing Telephone | 8505737747 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2014-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH7036 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 678049196 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295379220 | Teresa Ann Shannon | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2019-11-02 |
| Street Address |
1332 DEERPATH RD |
| City | CHIPLEY |
| State | FL |
| Zip Code | 32428-5847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245590918 | Restore Therapy and Wellness, Inc. | Clinic/Center | 877 Third Street, Suite 1, Chipley, FL 32428 | 2012-05-29 |
| 1851470827 | Washington County School Board | Local Education Agency (LEA) | 652 3rd Street, Chipley, FL 32428 | 2006-11-02 |
| 1578659769 | Arthur Clayton Zediker | Dentist | 5016 Pine Ridge Dr, Chipley, FL 32428 | 2006-10-05 |
| 1528159480 | Teresa Lynn Seay | Nurse Practitioner | 1351 South Blvd, Chipley, FL 32428 | 2006-09-27 |
| 1386753044 | Jack Rogers Taylor | Dentist | 843 Hwy 277, Chipley, FL 32428 | 2006-08-29 |
| 1992818447 | William Edwin Cox IIi | Dentist | 699 2nd St, Chipley, FL 32428 | 2006-08-17 |
| 1255319695 | Samuel E Ward Md Pl | Family Medicine | 1410 Brickyard Rd, Chipley, FL 32428 | 2006-01-05 |
| 1407309867 | Doris M Roberts | Nurse Practitioner | 4455 Sam Mitchell Dr, Chipley, FL 32428 | 2016-08-02 |
| 1114017548 | Robert W Snare Md Pa | General Practice | 1187 Main St, Ste 3, Chipley, FL 32428 | 2006-10-14 |
| 1124117809 | Belinda Gail Parker Mcrae | Nurse Practitioner | 1410 Brickyard Rd, Samuel E Ward Md Pl, Chipley, FL 32428 | 2006-10-12 |
| Find all providers in zip 32428 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699083923 | Deborah K Maqueira | Counselor | 1376 Brickyard Rd Ste 5, Chipley, FL 32428-6392 | 2010-09-21 |
| 1285848556 | Peter Philp Vallone Jr. | Counselor | 3325 Eagle Ct, Chipley, FL 32428-5697 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457161 | Jenna Grace Mallek Campos | Counselor | 13626 Phoenix Dr, Orlando, FL 32828-9338 | 2020-11-07 |
| 1295336089 | Resilience Behavioral Health LLC | Counselor | 3211 Calumet Dr, Orlando, FL 32810-2023 | 2020-11-06 |
| 1538760392 | Darcy Lynn Coleman | Counselor | 325 Se 28th Ter, Cape Coral, FL 33904-3416 | 2020-11-06 |
| 1407457203 | Marylon Larkins | Counselor | 1525 W Broadway St, Oviedo, FL 32765-6576 | 2020-11-06 |
| 1639770423 | Nickole Marguerite Wyse | Counselor | 7901 4th St N Ste 4000, St Petersburg, FL 33702-4305 | 2020-11-06 |
| 1275134066 | Hyacinth Anne Morgan | Counselor | 1001 W Cypress Creek Rd Ste 302s, Fort Lauderdale, FL 33309-1950 | 2020-11-06 |
| 1245831288 | John Lopez IIi | Counselor | 3024 Smith Ave, Bradenton, FL 34207-5558 | 2020-11-05 |
| 1326649435 | Taylor Shannon Wolfe | Counselor | 8312 Catria Ln, Lake Worth, FL 33467-6706 | 2020-11-04 |
| 1427659630 | Sherrie Wade | Counselor | 260 Ne Wavecrest Way, Boca Raton, FL 33432-4220 | 2020-11-04 |
| 1396346656 | Ariel K Heyliger St. Fleur | Counselor | 9104 Nw 39th St, Coral Springs, FL 33065-2421 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. TERESA Z SHANNON.
| 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.