Wallace, Shannon

Wallace, Shannon is an individual health care provider with primary practice located at 7400 E Orchard Rd Ste 2850N , Greenwood Village CO 80111-2528. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wallace, Shannon can be contacted via phone (720) 782-5100.

Contact Information

Primary practice address
7400 E Orchard Rd Ste 2850N Greenwood Village CO 80111-2528
Phone: (720) 782-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1390 Colorado
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 18863 Colorado

Profile Details

NPI number 1538609847
LBN Legal business name Wallace, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2017
Last updated Dec 7th, 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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