AUDREANNA SHALISE SHANNON


Address: 8623 N Wayne Rd Ste 123, Westland, MI 48185-1137
Phone: 3134225549

AUDREANNA SHALISE SHANNON (NPI# 1225676596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225676596
Entity Type Individual
Full Name AUDREANNA SHALISE SHANNON
Practice Address 8623 N Wayne Rd Ste 123
Westland
MI 48185-1137
Practice Telephone 3134225549
Mailing Telephone 3134225549
Enumeration Date 2019-12-17
Last Update Date 2019-12-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor MI Behavioral Health & Social Service Providers
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 8623 N WAYNE RD STE 123
City WESTLAND
State MI
Zip Code 48185-1137

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548516883 Stephanie Stromberger Counselor 8623 N Wayne Rd Ste 123, Westland, MI 48185 2012-07-24
1326659509 Staci Silvina Carpenter Social Worker 8623 N Wayne Rd Ste 123, Westland, MI 48185-1137 2020-08-12
1871130575 Sham Al-mehdi Psychologist 8623 N Wayne Rd Ste 123, Westland, MI 48185-1137 2019-12-02
1508407826 Liliya Mironova Social Worker 8623 N Wayne Rd Ste 123, Westland, MI 48185-1137 2019-10-08
1790259091 Anne West Nurse Practitioner 8623 N Wayne Rd Ste 123, Westland, MI 48185-1137 2019-01-20
1346711967 Amelia Morgan Walker Social Worker 8623 N Wayne Rd Ste 123, Westland, MI 48185-1137 2018-12-07
1205307055 Jessica Turpin Social Worker 8623 N Wayne Rd Ste 123, Westland, MI 48185-1137 2018-12-05
1942778089 Jaime Robb Case Manager/Care Coordinator 8623 N Wayne Rd Ste 123, Westland, MI 48185-1137 2018-11-07
1720582810 Elizabeth Caitlin Webster Counselor 8623 N Wayne Rd Ste 123, Westland, MI 48185-1137 2018-03-22
1669980470 Amanda Rae Eder Social Worker 8623 N Wayne Rd Ste 123, Westland, MI 48185-1137 2018-01-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457821084 Kimberly L Traver Nurse Practitioner 6149 N. Wayne Road, Westland, MI 48185 2018-11-27
1710456421 Infinity Physical Therapy Occupational Therapy Assistant 36413 Warren Road, Westland, MI 48185 2018-11-26
1770071391 Woodcrest Rx LLC. Pharmacy 8301 North Wayne Rd., Westland, MI 48185 2018-04-30
1922522952 Regina Amadi Pharmacist 30785 Ann Arbor Trail, Westland, MI 48185 2017-08-01
1811417637 Jacob Davis Adams Specialist/Technologist 34610 Parkgrove, Westland, MI 48185 2017-06-22
1336677533 Mark Brian Beathard Counselor 8623 N. Wayne Road, Suite 310, Adult Outpatient Services for Smi, Westland, MI 48185 2017-06-01
1164965240 Murray Dalton Social Worker 8623 N. Wayne Rd, Suite 310, Westland, MI 48185 2016-11-22
1962953505 Krishaun Harris Technician, Other 8181 N.wayne Rd, Apt.2131, Westland, MI 48185 2016-10-19
1417408089 Joseph E Silver Dpm PC Podiatrist 35337 W Warren Ave, Westland, MI 48185 2016-10-19
1043769813 Joy Hix Pharmacy LLC Pharmacy 38409 Joy Rd, Westland, MI 48185 2016-09-22
Find all providers in zip 48185

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750938023 Felix Andrew Asiedu Counselor 1858 Ackley Ave, Westland, MI 48186-4406 2019-08-21
1407337835 Teena Hutson Counselor 37450 Schoolcratf, Westland, MI 48150 2018-08-23
1649791286 Jeerna Susan Meador Counselor 6984 Lakeview Blvd Apt 21202, Westland, MI 48185-6641 2017-07-05
1477962843 Emma Caitlin Jackman Counselor 8623 N Wayne Rd Ste 201, Westland, MI 48185-1137 2014-08-10
1083958235 Monica Crawford Counselor 2081 W Williams Cir, Westland, MI 48186-9340 2012-11-11
1548516883 Stephanie Stromberger Counselor 8623 N Wayne Rd Ste 123, Westland, MI 48185 2012-07-24
1992076764 Karen Lynnette Dusseau Counselor 32715 Dorsey St, Westland, MI 48186-4755 2012-01-25
1265730139 Nakia R Anderson Counselor 37781 Oakview St, Westland, MI 48185-3315 2011-03-02
1497088652 Louis C. Oswald Counselor 8623 N. Wayne Rd., 310, Westland, MI 48185 2009-09-04
1386882959 Priscilla Pratt Counselor 8623 N Hall Rd, Suite 325, Westland, MI 48185-1137 2009-02-04
Find all providers in WESTLAND

Competitor

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City WESTLAND
Zip Code 48185

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Dataset Information

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.

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