Pernell, Shawnteal Nicole

Pernell, Shawnteal Nicole is an sole proprietor health care provider with primary practice located at 1 Parklane Blvd Suite 1210E, Dearborn MI 48126-2400. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Pernell, Shawnteal Nicole can be contacted via phone (313) 283-8661.

Contact Information

Primary practice address
1 Parklane Blvd Suite 1210E Dearborn MI 48126-2400
Phone: (313) 283-8661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801090355 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801090355 Michigan

Profile Details

NPI number 1861857799
LBN Legal business name Pernell, Shawnteal Nicole
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2015
Last updated Oct 5th, 2018 - about 8 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