MRS. SHANNON METCALF DERRICK LPCC
NPI 1861764011
Counselor - Professional in Louisville, KY
- Individual
- Female
- Counselor
- Professional
About SHANNON DERRICK
This page provides the complete NPI Profile along with additional information for Shannon Derrick, a provider established in Louisville, Kentucky with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1861764011 assigned on February 2012. The practitioner's primary taxonomy code is 101YP2500X with license number 0949 (KY). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1861764011 Verify this NPI
- Provider Name
- MRS. SHANNON METCALF DERRICK LPCC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1100 E MARKET ST AFTERCARE PROGRAM LOUISVILLE, KY 40206
- Location Phone
- (502) 596-1323
- Location Fax
- (502) 596-1416
- Mailing Address
- 1100 E MARKET ST AFTERCARE PROGRAM LOUISVILLE, KY 40206
- Mailing Phone
- (502) 596-1323
- Mailing Fax
- (502) 596-1416
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-03-2012
- Last Update Date
- 02-03-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 0949
- License State
- KY
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861764011, enumerated as an "individual" on February 03, 2012.
The provider is located at 1100 E MARKET ST AFTERCARE PROGRAM LOUISVILLE, KY 40206 and the phone number is (502) 596-1323.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
