| Shannon E Shackford, LPC | |
|
2117 Smith Ave Ste D, Chesapeake, VA 23320-2519 | |
| (757) 547-9007 | |
| Not Available |
| Full Name | Shannon E Shackford |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 2117 Smith Ave Ste D, Chesapeake, Virginia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669043444 | NPI | - | NPPES |
| 0701015072 | Other | VA | LICENSED PROFESSIONAL COUSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701015072 (Virginia) | Primary |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon E Shackford, LPC 2117 Smith Ave Ste B, Chesapeake, VA 23320-2519 Ph: (757) 547-9007 | Shannon E Shackford, LPC 2117 Smith Ave Ste D, Chesapeake, VA 23320-2519 Ph: (757) 547-9007 |
Mrs. Mercedes Santos-bell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Wildlife Trce, Chesapeake, VA 23320 Phone: 917-406-6763 |
Ashley Marie Dyer, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2010 Old Greenbrier Rd Ste G, Chesapeake, VA 23320 Phone: 757-493-2912 Fax: 866-730-6583 |
Clairese Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1524 Volvo Pkwy Ste B, Chesapeake, VA 23320 Phone: 757-404-5355 |
Felicia Denise Dew, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4512 S Military Hwy, Chesapeake, VA 23321 Phone: 757-955-9001 |
Garris Ravae Osborne, M.S., LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 2118 English Ave, Chesapeake, VA 23320 Phone: 757-918-5433 Fax: 757-918-5433 |
Monique J Branch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Gateway Ct Apt 101, Chesapeake, VA 23320 Phone: 901-578-9807 |
Nikita Tiffany Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Chaffins Ct, Chesapeake, VA 23322 Phone: 757-752-9221 Fax: 757-752-9221 |