Freeman, Shannon

Freeman, Shannon is an individual health care provider with primary practice located at 4077 Jefferson Ave , Texarkana AR 71854-1509. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Freeman, Shannon can be contacted via phone (870) 330-9200.

Contact Information

Primary practice address
4077 Jefferson Ave Texarkana AR 71854-1509
Phone: (870) 330-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X A1908021 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P2106003 Arkansas

Profile Details

NPI number 1144879404
LBN Legal business name Freeman, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2019
Last updated Aug 29th, 2024 - about 2 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.

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