Chavis, Shannon Lamar

Chavis, Shannon Lamar is an individual health care provider with primary practice located at 1390 Old Middleburg Rd N , Jacksonville FL 32210-1170. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Chavis, Shannon Lamar can be contacted via phone (850) 284-9555.

Contact Information

Primary practice address
1390 Old Middleburg Rd N Jacksonville FL 32210-1170
Phone: (850) 284-9555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5894 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH17417 Florida

Profile Details

NPI number 1033589387
LBN Legal business name Chavis, Shannon Lamar
Credentials LMHC, CAP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2015
Last updated Jun 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers