Healthcare Provider Details

I. General information

NPI: 1972578706
Provider Name (Legal Business Name): BARBARA SHANNON LMHP CPC LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 FLACK AVE
ALLIANCE NE
69301-3511
US

IV. Provider business mailing address

321 FLACK AVE
ALLIANCE NE
69301-3511
US

V. Phone/Fax

Practice location:
  • Phone: 308-762-6868
  • Fax: 308-762-3885
Mailing address:
  • Phone: 308-762-6868
  • Fax: 308-762-3885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number431
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2081
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1192
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: