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AUDREANNA SHALISE SHANNON
NPI 1225676596
Counselor in Detroit, MI

Active since December 17, 2019
707 W MILWAUKEE ST, DETROIT, MI 48202(313) 422-5549 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Audreanna Shalise Shannon NPPES

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

AUDREANNA SHALISE SHANNON (NPI 1225676596) is an individual counselor in Detroit, Michigan and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1225676596
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameAUDREANNA SHALISE SHANNON
Location Address707 W MILWAUKEE STDetroit, MI 48202-2943
Mailing Address707 W Milwaukee StDetroit, MI 48202-2943 · (313) 422-5549
Phone(313) 422-5549
Sole ProprietorNo
Enumeration DateDecember 17, 2019
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1225676596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6401018399 (MI)
707 W MILWAUKEE ST, Detroit, MI 48202
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Other Providers at the Same Location NPPES 20

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

KARYNTHIA STORY
Behavior Technician
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 989-9444
MARK ELTON APPLETON
Peer Specialist
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 989-9444
MELISSA MOODY
Psychologist (Cognitive & Behavioral)
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 410-4992
MS. VICKY KAY POLITOWSKI LMSW
Social Worker (Clinical)
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (248) 217-2971
JEWEL IRLENE WALTON
Peer Specialist
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 344-9099
SAGE RINGSMUTH
Social Worker (Clinical)
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 344-9099
DAWN MARIE BURCH MA, LLP
Psychologist
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 344-9099
CRYSTAL LAVERA BURKES RN
Registered Nurse
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 989-9444

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 Audreanna Shannon's NPI number?

The NPI number for Audreanna Shannon is 1225676596. It was assigned to this individual provider in the NPPES registry on December 17, 2019.

Where is Audreanna Shannon located?

Audreanna Shannon practices at 707 W Milwaukee St, Detroit, MI 48202. The listed phone number is (313) 422-5549.

What is Audreanna Shannon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Audreanna Shannon was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.