SHANNON CARBALLO
NPI 1083025050
Counselor - Mental Health in Williamson, WV

Active since May 13, 2014
105 W 4TH AVE, WILLIAMSON, WV 25661(304) 236-3517(304) 236-3517 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Carballo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON CARBALLO (NPI 1083025050) is an individual mental health provider in Williamson, West Virginia and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1083025050
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON CARBALLO
Location Address105 W 4TH AVEWilliamson, WV 25661-3111
Mailing Address105 W 4th AveWilliamson, WV 25661-3111 · (304) 236-3517 · Fax (304) 236-3518
Fax(304) 236-3517
Sole ProprietorNo
Enumeration DateMay 13, 2014
Last NPPES UpdateOctober 31, 2016
NPI 1083025050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
105 W 4TH AVE, Williamson, WV 25661

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
105 W 4TH AVE
WILLIAMSON, WV 25661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Carballo's NPI number?

The NPI number for Shannon Carballo is 1083025050. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Shannon Carballo located?

Shannon Carballo practices at 105 W 4th Ave, Williamson, WV 25661. The listed phone number is (304) 236-3517.

What is Shannon Carballo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shannon Carballo was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.