SHAWN PATRICK MCNULTY (NPI# 1881115590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881115590 |
Entity Type | Individual |
Full Name | SHAWN PATRICK MCNULTY |
Credential | LPC, NCC, M.ED. |
Practice Address |
Colonial Behavioral Health 1657 Merrimac Trail Williamsburg VA 23185 |
Mailing Address |
1769 Jamestown Rd Ste 101 Williamsburg VA 23185-2310 |
Practice Telephone | 7572203200 |
Practice Fax Number | 7579034992 |
Mailing Telephone | 7579526767 |
Enumeration Date | 2017-07-03 |
Last Update Date | 2018-10-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 101YP2500X |
Counselor Specialization: Professional |
0701007505 | VA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | LICENSED PROFESSIONAL COUNSELOR | 0701007505 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1769 Jamestown Rd Ste 101, Williamsburg, VA 231852310 | 7579526767 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316257660 | Shawn Carol Mcnulty | Counselor | 9131 Ivory Beach Dr, Las Vegas, NV 89147-6802 | 2010-10-19 |
Street Address |
COLONIAL BEHAVIORAL HEALTH 1657 MERRIMAC TRAIL |
City | WILLIAMSBURG |
State | VA |
Zip Code | 23185 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215579412 | Marian Shearin | Technician | 112 Indian Circle, Williamsburg, VA 23185 | 2019-10-09 |
1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
1265939482 | Michelle Antionette Hill | Counselor | 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 | 2018-04-13 |
1114437480 | Kimberly Anne Allan | Orthotic Fitter | 1811 Jamestown Rd., Williamsburg, VA 23185 | 2017-10-02 |
1790215986 | Sea Change Therapy Pllc | Community/Behavioral Health | 3308 Ash Vw, Williamsburg, VA 23185 | 2017-06-19 |
1316479322 | Maureen Bounds | Pharmacist | 230 Gooch Dr, Williamsburg, VA 23185 | 2017-03-29 |
1386196970 | Joshua Desilva | Psychologist | 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 | 2016-10-29 |
1750837001 | Ellen Lerose | Pharmacist | 5601-b Richmond Road, Williamsburg, VA 23185 | 2016-08-28 |
1194173922 | Michael C. Shuck, Dds PC | Dentist | 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 | 2016-06-02 |
1700285723 | Jana Brultz | Counselor | 215 Mclaws Circle, Suite 1, Williamsburg, VA 23185 | 2014-08-14 |
Find all providers in zip 23185 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144840752 | Pamela Grzech | Counselor | 5654 Creeks Crossing, Williamsburg, MI 49690-4961 | 2020-04-23 |
1538795620 | Brittany Manus | Counselor | 285 Cemetery Rd, Williamsburg, KY 40769-1511 | 2020-03-20 |
1750926580 | The Healing Project LLC | Counselor | 428 Mclaws Cir Ste 202a, Williamsburg, VA 23185-5654 | 2019-11-15 |
1235795683 | Nassim Hartung | Counselor | 3917 Midlands Rd Ste 200, Williamsburg, VA 23188-4505 | 2019-05-10 |
1962067025 | Shannon Keith | Counselor | 1388 Juniata River Rd, Williamsburg, PA 16693-6936 | 2019-05-04 |
1649834763 | Jenny Marie Armstrong | Counselor | 523 1/2 Court St, Williamsburg, IA 52361-5236 | 2019-04-24 |
1932762523 | Sarah Painter Parks | Counselor | 1769 Jamestown Rd Ste 121, Williamsburg, VA 23185-2307 | 2019-04-18 |
1265939482 | Michelle Antionette Hill | Counselor | 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 | 2018-04-13 |
1225552565 | Stephanie Croke | Counselor | 500 Strawberry Plains Rd # 101, Williamsburg, VA 23188-3442 | 2017-07-28 |
1962855643 | Dane Wendell | Counselor | 4808 Courthouse St Ste 207a, Williamsburg, VA 23188-2684 | 2016-07-19 |
Find all providers in WILLIAMSBURG |
City | WILLIAMSBURG |
Zip Code | 23185 |
Please comment or provide details below to improve the information on SHAWN PATRICK MCNULTY.
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.