SHANNON DETWILER (NPI# 1124638523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124638523 |
| Entity Type | Individual |
| Full Name | SHANNON DETWILER |
| Credential | MA, LMHC |
| Practice Address |
2432 Clubside Ct Apt 327 Palm Harbor FL 34683-1755 |
| Practice Telephone | 7175577337 |
| Mailing Telephone | 7175577337 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH18125 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2432 CLUBSIDE CT APT 327 |
| City | PALM HARBOR |
| State | FL |
| Zip Code | 34683-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659939338 | Douglas W Webster | Social Worker | 3023 Us 19 Alternate, Suite 102, Palm Harbor, FL 34683 | 2019-05-29 |
| 1043774003 | Edward G Mackay, Md and Associates, LLC | Phlebology | 2863 Alternate 19 North, Palm Harbor, FL 34683 | 2019-01-24 |
| 1386178739 | The Childrens Doctor of Tampabay, Jacquelin Eniebles Md, Pllc | Pediatrics | 14499 North Dale Mabry Hwy, Suite 180-s, Tampa, FL 34683 | 2017-04-12 |
| 1154785855 | David Blair | Nurse Anesthetist, Certified Registered | 492 Lakeview Dr, 40, Palm Harbor, FL 34683 | 2016-04-08 |
| 1043688773 | Counseling Options LLC | Counselor | 2706 Alternate 19 N, Suite 219, Palm Harbor, FL 34683 | 2015-09-11 |
| 1295144699 | Charisse Renee Diaz | Counselor | 2708 Alternate 19 North, Suite 507-6, Palm Harbor, FL 34683 | 2014-08-11 |
| 1295153658 | Family Private Care Inc | Home Health | 3060 Alternate Us 19, Suite B-15, Palm Harbor, FL 34683 | 2014-04-02 |
| 1649696360 | Aghapy Care LLC | Psychologist | 989 Skye Lane, Palm Harbor, FL 34683 | 2014-03-06 |
| 1225465164 | Angel R Reale | Counselor | 2311 Alternate 19 N, Suite 1, Palm Harbor, FL 34683 | 2013-10-10 |
| 1699010660 | Pamela Ann Mullenbruck | Physical Therapy Assistant | 2208 Andover Circle, Palm Harbor, FL 34683 | 2012-12-03 |
| Find all providers in zip 34683 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807047 | Sarah May Myers | Counselor | 31640 Us Highway 19 N Ste 2, Palm Harbor, FL 34684-3738 | 2020-09-30 |
| 1780217315 | Stephanie A. Wray | Counselor | 1512 Foxboro Dr, Palm Harbor, FL 34683-5607 | 2020-02-21 |
| 1508409319 | Tampa Bay Area Counseling LLC | Counselor | 2708 Alt 19 Ste 507-13, Palm Harbor, FL 34683-2665 | 2019-10-24 |
| 1003392853 | Sound Mind Counseling | Counselor | 2708 Alt 19 Ste 507-10, Palm Harbor, FL 34683-2665 | 2018-07-16 |
| 1154813822 | Danielle C Proch | Counselor | 334 E Lake Rd # 280, Palm Harbor, FL 34685-2427 | 2018-05-30 |
| 1447608708 | Dinah Metcalf | Counselor | 624 Omaha St, Palm Harbor, FL 34683-4427 | 2016-05-27 |
| 1841661295 | Marianne Bergmann Williams | Counselor | 3275 Haviland Ct, #201, Palm Harbor, FL 34684-1888 | 2015-10-12 |
| 1295144699 | Charisse Renee Diaz | Counselor | 2708 Alternate 19 North, Suite 507-6, Palm Harbor, FL 34683 | 2014-08-11 |
| 1679903041 | Joanna Smith | Counselor | 702 1st Court, Palm Harbor, FL 34684-3729 | 2013-11-20 |
| 1225465164 | Angel R Reale | Counselor | 2311 Alternate 19 N, Suite 1, Palm Harbor, FL 34683 | 2013-10-10 |
| Find all providers in PALM HARBOR | ||||
| City | PALM HARBOR |
| Zip Code | 34683 |
Please comment or provide details below to improve the information on SHANNON DETWILER.
| 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.