MEDICARE: SHANNON RIESE LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MT4930	FL

General Provider Information

NPI Number	:	1194528125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON RIESE LMFT

Provider Business Mailing Address
First Line	:	13829 HERITAGE CLUB DR # 901
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-2032
Country	:	US
Telephone Number	:	423-322-5990
Fax Number	:

Provider Business Practice Location Address
First Line	:	13829 HERITAGE CLUB DR # 901
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-2032
Country	:	US
Telephone Number	:	423-322-5990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	03/27/2025

Similar Medicare Providers

1568212041 — ADIANNES ARMAIGNAC TRUJILLO
Practice Location Address:

7222 RIVERWOOD BLVD
TAMPA, FL
33615-2032

Practice Phone: 727-254-7319
Practice Fax:

1316136815 — DR. ELAHEH NAZERI PHARM. D.
Practice Location Address:

16008 BURNHAM WAY
TAMPA, FL
33647-2032

Practice Phone: 813-971-0022
Practice Fax: 813-971-0022

1518532233 — CHRISTOPHER SZERBIAK
Practice Location Address:

16007 BURNHAM WAY
TAMPA, FL
33647-2032

Practice Phone: 813-417-9311
Practice Fax:

1699448399 — DAVID RUSSELL DUNNINGTON PA-C
Practice Location Address:

3466 SAINT BART LN APT 304
TAMPA, FL
33614-2032

Practice Phone: 503-369-6162
Practice Fax:

1972449577 — DR. FADIA FAKHRE MD
Practice Location Address:

3100 E FLETCHER AVE
TAMPA, FL
33613-4613

Practice Phone: 813-971-6000
Practice Fax:

1548106172 — ZAIN RAHMAT
Practice Location Address:

13601 BRUCE B DOWNS BLVD
TAMPA, FL
33613-4657

Practice Phone: 813-615-8235
Practice Fax:

Directions to “ SHANNON RIESE LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.