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MR. SHANE A SHAW
NPI 1710759493
Counselor - Mental Health in Metairie, LA

Active since October 25, 2023
3100 RIDGELAKE DR STE 309A, METAIRIE, LA 70002(504) 309-0259(504) 309-2702 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shane A Shaw NPPES

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

MR. SHANE A SHAW (NPI 1710759493) is an individual mental health provider in Metairie, Louisiana, licensed in Louisiana (00000) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1710759493
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. SHANE A SHAW
Location Address3100 RIDGELAKE DR STE 309AMetairie, LA 70002-4938
Mailing Address3100 Ridgelake Dr Ste 309aMetairie, LA 70002-4938 · (504) 309-0259 · Fax (504) 309-2702
Phone(504) 309-0259
Fax(504) 309-2702
Sole ProprietorYes
Enumeration DateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
✔ NPI 1710759493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in LA · 00000
3100 RIDGELAKE DR STE 309A, Metairie, LA 70002
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

MS. BRIANISHA L ROBINSON
Technician (Personal Care Attendant)
3100 RIDGELAKE DR STE 309A
METAIRIE, LA 70002
Jefferson Parish (504) 309-0259
MISS ARIAL COLEMAN
Technician (Personal Care Attendant)
3100 RIDGELAKE DR STE 309A
METAIRIE, LA 70002
Jefferson Parish (504) 309-0259
MR. BRIAN MAURICE BETHLEY
Technician (Personal Care Attendant)
3100 RIDGELAKE DR STE 309A
METAIRIE, LA 70002
Jefferson Parish (504) 309-0259
MISS RONISHA S. JONES
Technician (Personal Care Attendant)
3100 RIDGELAKE DR STE 309A
METAIRIE, LA 70002
Jefferson Parish (504) 309-0259
MISS KYA MICHELLE DUFAUCHARD
Technician (Personal Care Attendant)
3100 RIDGELAKE DR STE 309A
METAIRIE, LA 70002
Jefferson Parish (504) 309-0259
MISS KENYANA ASHLEY ANDERSON
Technician (Personal Care Attendant)
3100 RIDGELAKE DR STE 309A
METAIRIE, LA 70002
Jefferson Parish (504) 309-0259
MISS LATOYA L. BRIDGES
Technician (Personal Care Attendant)
3100 RIDGELAKE DR STE 309A
METAIRIE, LA 70002
Jefferson Parish (504) 309-0259
MR. KENDRICK J. BRIDGES
Technician (Personal Care Attendant)
3100 RIDGELAKE DR STE 309A
METAIRIE, LA 70002
Jefferson Parish (504) 309-0259

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 Shane Shaw's NPI number?

The NPI number for Shane Shaw is 1710759493. It was assigned to this individual provider in the NPPES registry on October 25, 2023.

Where is Shane Shaw located?

Shane Shaw practices at 3100 Ridgelake Dr Ste 309A, Metairie, LA 70002. The listed phone number is (504) 309-0259.

What is Shane Shaw'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 Shane Shaw was last updated on October 25, 2023. 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.