Thome-Stapleton, Shannon
Thome-Stapleton, Shannon is an sole proprietor health care provider with primary practice located at 678 Tom Brewer Rd , Loganville GA 30052-4005. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Thome-Stapleton, Shannon can be contacted via phone (770) 554-3599.Contact Information
Primary practice address
678 Tom Brewer Rd
Loganville GA 30052-4005
Phone: (770) 554-3599
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC010108 | Georgia |
Profile Details
| NPI number | 1225525199 |
|---|---|
| LBN Legal business name | Thome-Stapleton, Shannon |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2018 |
| Last updated | May 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225525199 | NPPES |
| Georgia | MEDICAID | 82-5177075 |
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