Shannon, Tierra Celese

Shannon, Tierra Celese is an individual health care provider with primary practice located at 130 Research Pkwy , Meriden CT 06450-7152. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Shannon, Tierra Celese can be contacted via phone (203) 235-1654.

Contact Information

Primary practice address
130 Research Pkwy Meriden CT 06450-7152
Phone: (203) 235-1654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1891487054
LBN Legal business name Shannon, Tierra Celese
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2023
Last updated May 24th, 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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