MRS. SHANNON LEANN BANUELOS


Address: 8045 E Portobello Ave, Mesa, AZ 85212-1690
Phone: 4805071404

MRS. SHANNON LEANN BANUELOS (NPI# 1558406165) 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) 1558406165
Entity Type Individual
Full Name MRS. SHANNON LEANN BANUELOS
Credential MAED COUNSELING
Practice Address 8045 E Portobello Ave
Mesa
AZ 85212-1690
Mailing Address 140 S Gilbert Rd
Gilbert
AZ 85296-1016
Practice Telephone 4805071404
Mailing Telephone 4804973300
Enumeration Date 2007-02-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YS0200X Counselor
Specialization: School
Behavioral Health & Social Service Providers

Office Location

Street Address 8045 E PORTOBELLO AVE
City MESA
State AZ
Zip Code 85212-1690

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679645253 Janis Rayann Dawn Speech-Language Pathologist 8045 E Portobello Ave, Mesa, AZ 85212-1690 2006-11-15
1245563188 Cynthia Susan Miller Speech-Language Pathologist 8045 E Portobello Ave, Mesa, AZ 85212-1690 2009-09-10
1164697744 Jane G Xavier Registered Nurse 8045 E Portobello Ave, Mesa, AZ 85212-1690 2008-04-24
1861547820 Diane Gail Brennan Psychologist 8045 E Portobello Ave, Mesa, AZ 85212-1690 2007-01-23
1760530414 Donna J Sheely Registered Nurse 8045 E Portobello Ave, Mesa, AZ 85212-1690 2007-01-08

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1689121188 Agh Mesa LLC General Acute Care Hospital 9130 East Elliot Road, Mesa, AZ 85212 2016-09-01
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Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750703682 Amber Pedersen Counselor 1312 E Hale St, Mesa, AZ 85203-3818 2014-01-12
1255588075 Ruth Schmidt Counselor 504 W 2nd Pl, Mesa, AZ 85201-6411 2008-08-22
1023264769 Maria Ramirez Counselor 9023 E Fox St, Mesa, AZ 85207-5031 2008-08-13
1821274986 Karen Marie Buckner Counselor 11536 E Dover St, Mesa, AZ 85207-2356 2008-01-18
1427102243 Tempe Elementary School District Counselor 1866 S Don Carlos Cir, Mesa, AZ 85202-5413 2007-01-22
1215069976 Catherine L Weigler Counselor 1025 N Country Club Dr, Mesa, AZ 85201-3307 2007-03-09

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NPI Name Taxonomy Address Enumeration
1215595707 Danielle Payne Counselor 4145 E Montecito St, Tucson, AZ 85711-4734 2019-05-30
1780135533 Eva Tomashefski Counselor 11011 N 92nd St, #1121, Scottsdale, AZ 85260-6137 2016-10-17
1275905754 A & G Child Care Center LLC Counselor 537 E Racine Pl, Casa Grande, AZ 85122-1611 2015-10-23
1235547654 Brian Prince Counselor 837 W Colter St, Apt. 51, Phoenix, AZ 85013-2269 2014-07-29
1023399227 Sarah Joy Steele Counselor 7275 W Vineyard Rd, Laveen, AZ 85339-9805 2011-08-31
1255639902 Sylvia Nockideneh-tee Counselor East Fir Street, Tuba City Junior High, Tuba City, AZ 86045 2011-03-04
1851600597 Denisse Leon-uribe Counselor 3689 W Pageant Pl, Yuma, AZ 85364-3262 2010-09-29
1457689259 Perla Nora Gonzalez Counselor 5832 W Ivanhoe St, Chandler, AZ 85226-1846 2009-12-07
1649508441 Jennifer Palomares Counselor 8706 W Morten Ave, Glendale, AZ 85305-3945 2009-12-07
1912235714 Joel Isaac Lopez Counselor 2727 N Price Rd Unit 62, Chandler, AZ 85224-4983 2009-12-07
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Competitor

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City MESA
Zip Code 85212

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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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