Wallace-Foster, Shawna Alexandria
Wallace-Foster, Shawna Alexandria is an sole proprietor health care provider with primary practice located at 230 Goodman Rd E Ste 204 , Southaven MS 38671-8313. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wallace-Foster, Shawna Alexandria can be contacted via phone (662) 622-1838.Contact Information
Primary practice address
230 Goodman Rd E Ste 204
Southaven MS 38671-8313
Phone: (662) 622-1838
Fax: (833) 355-5044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2680 | Mississippi |
Profile Details
| NPI number | 1518287192 |
|---|---|
| LBN Legal business name | Wallace-Foster, Shawna Alexandria |
| Credentials | M.S. LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2010 |
| Last updated | Nov 14th, 2022 - about 4 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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