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SHANNON STEWART GRESHAM M.S., L.A.C.
NPI 1346670064
Counselor - Addiction (Substance Use Disorder) in Coushatta, LA

Active since November 15, 2013
1313 RINGGOLD AVE, COUSHATTA, LA 71019(318) 932-4029(318) 932-5914 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Stewart Gresham M.s., L.a.c. NPPES

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

SHANNON STEWART GRESHAM M.S., L.A.C. (NPI 1346670064) is an individual addiction (substance use disorder) provider in Coushatta, Louisiana, licensed in Louisiana (LAC #1408) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1346670064
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON STEWART GRESHAMCredential: M.S., L.A.C.
Location Address1313 RINGGOLD AVECoushatta, LA 71019-9078
Mailing Address1313 Ringgold AveCoushatta, LA 71019-9078 · (318) 932-4029 · Fax (318) 932-5914
Phone(318) 932-4029
Fax(318) 932-5914
Sole ProprietorNo
Enumeration DateNovember 15, 2013
✔ NPI 1346670064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in LA · LAC #1408
1313 RINGGOLD AVE, Coushatta, LA 71019
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Other Providers at the Same Location NPPES

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

DEBORAH NICHOLS
Case Manager/Care Coordinator
1313 RINGGOLD AVE
COUSHATTA, LA 71019
Red River Parish (318) 932-4029

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 Gresham's NPI number?

The NPI number for Shannon Gresham is 1346670064. It was assigned to this individual provider in the NPPES registry on November 15, 2013.

Where is Shannon Gresham located?

Shannon Gresham practices at 1313 Ringgold Ave, Coushatta, LA 71019. The listed phone number is (318) 932-4029.

What is Shannon Gresham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shannon Gresham was last updated on November 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.