Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON LACERNE HALL
Active Sole ProprietorDR. SHANNON LACERNE HALL is a Counselor healthcare provider located in ELLENWOOD, Georgia. NPI 1164856373 is currently active in the NPPES registry. Verify at CMS.
Counselor · ELLENWOOD, GA
Registration Details
- NPI Number
- 1164856373
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2013 (12.95623330394 yrs)
- Last Updated
- Aug 23, 2013
- License
-
08137869 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2515 TOLLIVER DRELLENWOOD, GA, 302946228Browse GA providers · Browse ZIP 30294
- Phone
- 6787947112
- Fax
- 4042419083
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in ELLENWOOD, GA
| Name | Credential | NPI |
|---|---|---|
| DR. LATESHIA SHUVONE WOODLEY | LPC, NCC | 1922262526 |
| TEQUILA CHESTER | — | 1417418294 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.