MRS. SHANNON GARLOCK DAVIS (NPI# 1063985968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063985968 |
Entity Type | Individual |
Full Name | MRS. SHANNON GARLOCK DAVIS |
Credential | MA, LPC |
Practice Address |
435 Marina Dr Georgetown SC 29440-2410 |
Mailing Address |
114 Lake Trl Pawleys Island SC 29585-7211 |
Practice Telephone | 8438338595 |
Mailing Telephone | 8436020884 |
Enumeration Date | 2019-01-03 |
Last Update Date | 2019-01-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | 4574 | SC | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
4574 | SC | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
4574 | SC | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235740341 | Shannon Davis | Technician | 330 Wilson St, Madison, WV 25130-1368 | 2020-08-12 |
1023642899 | Shannon Lee Davis | Nurse Practitioner | 1400 S Boston Ave, Tulsa, OK 74119-3612 | 2020-03-02 |
1780244707 | Shannon N. Davis | Case Management | 720 Beaufort St Apt 6, Laramie, WY 82072-1741 | 2019-06-20 |
1841666948 | Shannon Davis | Physical Therapist | 1485 Nettle Creek Way, Chula Vista, CA 91915-1632 | 2015-08-12 |
1588093132 | Shannon Davis | Counselor | 8504 Nbu, Prague, OK 74864-5024 | 2013-11-04 |
1144506122 | Shannon Marie Davis | Physical Therapist | 9106 Cool Hollow Ter, Hagerstown, MD 21740-8949 | 2011-10-22 |
1538485982 | Shannon Lea Davis | Occupational Therapist | 1181 Forest Bay Dr, Waterford, MI 48328-4289 | 2010-04-09 |
1366519316 | Shannon A Davis | Speech-Language Pathologist | 140 Pennock Landing Cir, Jupiter, FL 33458-4020 | 2006-11-28 |
1154401529 | Shannon Marie Davis | Counselor | 365 118th Ave Se Ste 110, Bellevue, WA 98005-3557 | 2006-10-17 |
1689764318 | Shannon Davis | Psychologist | 17034 Chesterfield Estates Ct, Chesterfield, MO 63005-4471 | 2006-10-13 |
Street Address |
435 MARINA DR |
City | GEORGETOWN |
State | SC |
Zip Code | 29440-2410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245267731 | Michelle M Steffen | Pediatrics | 435 Marina Dr, Georgetown, SC 29440-2410 | 2006-06-28 |
1962047456 | Louise Smunk Holladay | Nurse Practitioner | 435 Marina Dr, Georgetown, SC 29440-2410 | 2019-11-08 |
1366905655 | Emily Kate Jenkins | Nurse Practitioner | 435 Marina Dr, Georgetown, SC 29440-2410 | 2019-04-12 |
1699295964 | Sunshine Adams Rearden | Nurse Practitioner | 435 Marina Dr, Georgetown, SC 29440-2410 | 2017-06-27 |
1275993420 | Es Pediatric Partners LLC | Pediatrics | 435 Marina Dr, Georgetown, SC 29440-2410 | 2016-03-01 |
1346645595 | Kaitlin Reiss Anderson | Registered Nurse | 435 Marina Dr, Georgetown, SC 29440-2410 | 2014-10-30 |
1164738852 | Rebekah England Hanna | Pediatrics | 435 Marina Dr, Georgetown, SC 29440-2410 | 2010-08-19 |
1366682254 | Jonathan Philip Elias | Pediatrics | 435 Marina Dr, Georgetown, SC 29440-2410 | 2009-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
Find all providers in zip 29440 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528668803 | Gwendolyn Marie Dicapo | Counselor | 207 S Elm St, Georgetown, TX 78626-5042 | 2020-10-27 |
1841813003 | The Shepherds New Pathways, LLC | Counselor | 3003 Dawn Dr Ste 101, Georgetown, TX 78628-2800 | 2020-05-22 |
1982225025 | Crystal L Force | Counselor | 1400 Westinghouse Rd Apt 416, Georgetown, TX 78626-2364 | 2020-04-29 |
1952933087 | Richard Johnston | Counselor | 407 W University Ave Ste 200, Georgetown, TX 78626-6710 | 2020-02-06 |
1033762711 | Rachel Saenger and Associates, LLC | Counselor | 3613 Williams Dr Ste 804, Georgetown, TX 78628-1374 | 2019-07-22 |
1770143695 | Christine Michelle Williams | Counselor | 3613 Williams Dr Ste 302, Georgetown, TX 78628-1369 | 2019-06-13 |
1316506546 | Danielle Terryl West | Counselor | 3613 Williams Dr Ste 1006, Georgetown, TX 78628-1376 | 2019-06-11 |
1538724174 | Alison R Winger | Counselor | 200 Bevins Ln Ste E, Georgetown, KY 40324-8532 | 2019-05-09 |
1487116810 | Rebecca Mcgee | Counselor | 3613 Williams Dr Ste 901, Georgetown, TX 78628-1375 | 2019-04-04 |
1235600438 | Emily Kaye Kipp-wright | Counselor | 106 E 16th St, Georgetown, TX 78626-6904 | 2018-12-16 |
Find all providers in GEORGETOWN |
City | GEORGETOWN |
Zip Code | 29440 |
Please comment or provide details below to improve the information on MRS. SHANNON GARLOCK DAVIS.
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.