MS. SHANNON ELIA WILLIAMS MFTI NPI 1023146891

Rehabilitation Practitioner in Pasadena, CA

About SHANNON WILLIAMS

Shannon Williams is a provider in Pasadena, CA. The NPI number assigned to this provider is 1023146891. The practitioner's primary taxonomy code is Rehabilitation Practitioner (225400000X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI

1023146891

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMS. SHANNON ELIA WILLIAMS MFTI
Provider Location Address855 N ORANGE GROVE BLVD STE 207 PASADENA, CA 91103 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address6686 LAURELTON LN UNIT 102 CHINO HILLS, CA 91709 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date03-01-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code225400000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationRehabilitation Practitioner
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.48723 MFTI
License StateCA
Taxonomy DescriptionA health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Business Address

MS. SHANNON ELIA WILLIAMS MFTI
855 N ORANGE GROVE BLVD STE 207
PASADENA, CA
ZIP 91103
Phone: (626) 796-3453

Get Directions

Mailing Address

MS. SHANNON ELIA WILLIAMS MFTI
6686 LAURELTON LN UNIT 102
CHINO HILLS, CA
ZIP 91709
Phone: (909) 606-2203

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306974175 MYRNA CORTEZ MSW
Individual
Counselor (Mental Health)855 N ORANGE GROVE BLVD STE 207
PASADENA, CA 91103
(626) 796-3453
1689702532D'VEAL FAMILY AND YOUTH SERVICES
Organization
Community/Behavioral Health855 N ORANGE GROVE BLVD STE 207
PASADENA, CA 91103
(626) 796-3453
Previous NPI
1023146883
Next NPI
1023146909