Leist, Shannon
Leist, Shannon is an individual health care provider with primary practice located at 2627 Charlestown Rd , New Albany IN 47150-2536. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Leist, Shannon can be contacted via phone (812) 944-1550.Contact Information
Primary practice address
2627 Charlestown Rd
New Albany IN 47150-2536
Phone: (812) 944-1550
Fax: (812) 725-7865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 33007313A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34008294A | Indiana |
Profile Details
| NPI number | 1841655719 |
|---|---|
| LBN Legal business name | Leist, Shannon |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2015 |
| Last updated | May 2nd, 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.
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