DR. SHANNA BROOKE HEUN (NPI# 1548541048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548541048 |
Entity Type | Individual |
Full Name | DR. SHANNA BROOKE HEUN |
Other Name | DR. SHANNA BROOKE DULEN |
Credential | PH.D. |
Practice Address |
501 S Sharon Amity Rd Ste 350 Charlotte NC 28211-3099 |
Mailing Address |
912 Channelside Drive 2414 Tampa FL 33602 |
Practice Telephone | 7048025468 |
Practice Fax Number | 7048005768 |
Mailing Telephone | 5855071508 |
Enumeration Date | 2011-08-29 |
Last Update Date | 2020-06-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
5173 | NC | Behavioral Health & Social Service Providers |
N | 103TC1900X |
Psychologist Specialization: Counseling |
PY 8953 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
103TC1900X | 1548541048 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
2907 W Bay To Bay Blvd, Suite 345, Tampa, FL 336298172 | 8133815200 | 8133815200 |
Street Address |
501 S SHARON AMITY RD STE 350 |
City | CHARLOTTE |
State | NC |
Zip Code | 28211-3099 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
Find all providers in zip 28211 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770148751 | Personal Enrichment Counseling & Consulting Services, Pllc | Psychologist | 10130 Mallard Creek Rd Ste 320, Charlotte, NC 28262-6001 | 2019-05-06 |
1932610177 | Charlotte Center for Balanced Living, P.a. | Psychologist | 5970 Fairview Rd Ste 412, Charlotte, NC 28210-2105 | 2017-10-16 |
1508281064 | Jeffrey Steven Martin | Psychologist | 300 Palmer Ln, Charlotte, VT 05445-4410 | 2014-02-20 |
1588008148 | Quick Empire, LLC | Psychologist | 3214 Lemongrass Ln, Charlotte, NC 28214-0204 | 2013-04-24 |
1932408986 | Vernessa Bowles | Psychologist | 7419 Ponders End Ln, Charlotte, NC 28213-5752 | 2011-03-16 |
1053642363 | Carolinas Physicians Network, Inc. | Psychologist | 5435 Prosperity Church Road, Ste 2200, Charlotte, NC 28269-2344 | 2010-01-26 |
1922143940 | Amy Fowler Johnson | Psychologist | 4425 Randolph Rd., Suite 411, Charlotte, NC 28211 | 2007-02-20 |
1720122757 | Aurora Family Counseling Center | Psychologist | 7110 Brighton Park Dr, Suite 400 Pmb 264, Charlotte, NC 28227-7987 | 2007-02-15 |
1487695052 | Brian Ronald Monteleone | Psychologist | 1977 J N Pease Pl, Suite 104, Charlotte, NC 28262-4508 | 2006-06-08 |
1144219650 | James Henry Young Jr. | Psychologist | 5435 Prosperity Church Rd, Suite 2200, Charlotte, NC 28269-2331 | 2005-10-18 |
Find all providers in CHARLOTTE |
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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.