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NPI Code Detail

MEDICARE: MRS. SHANNON YOUSEY MHR, LPC

MEDICARE: MRS. SHANNON YOUSEY MHR, LPC
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
1101YP2500XProfessional Counselor11969OK

General Provider Information

NPI Number : 1851961783
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHANNON YOUSEY MHR, LPC
Provider Business Mailing Address
First Line : 1105 SW 30TH CT
Second Line :
City : MOORE
State : OK
Zip : 73160-2887
Country : US
Telephone Number : 405-378-2727
Fax Number :
Provider Business Practice Location Address
First Line : 1105 SW 30TH CT
Second Line :
City : MOORE
State : OK
Zip : 73160-2887
Country : US
Telephone Number : 405-378-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2021
Last Update Date : 06/08/2026

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