MEDICARE: SHANNON ELIZABETH STIEG LMHC

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	101YM0800X	Mental Health Counselor	MH27150	FL

General Provider Information

NPI Number	:	1588513865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON ELIZABETH STIEG LMHC

Provider Business Mailing Address
First Line	:	2403 BETTY ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-4201
Country	:	US
Telephone Number	:	407-310-8508
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 S HWY 17 92 STE 150
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750-5712
Country	:	US
Telephone Number	:	407-863-2121
Fax Number	:

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

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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