Long, Shannon

Long, Shannon is an sole proprietor health care provider with primary practice located at 4015 Belle Terre Blvd , Myrtle Beach SC 29579-4917. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Long, Shannon can be contacted via phone (843) 410-8845.

Contact Information

Primary practice address
4015 Belle Terre Blvd Myrtle Beach SC 29579-4917
Phone: (843) 410-8845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6217 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 719396 South Carolina

Profile Details

NPI number 1184176554
LBN Legal business name Long, Shannon
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2016
Last updated Sep 8th, 2021 - about 5 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