MEDICARE: MRS. SHANA GABRIELA SUGGS 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	101YA0400X	Addiction (Substance Use Disorder) Counselor	MH21357	FL

General Provider Information

NPI Number	:	1871285635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHANA GABRIELA SUGGS LMHC

Provider Business Mailing Address
First Line	:	2310 SILVERSIDES LOOP
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32526-1509
Country	:	US
Telephone Number	:	850-982-1521
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 SILVERSIDES LOOP
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32526-1509
Country	:	US
Telephone Number	:	850-982-1521
Fax Number	:

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

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	03/09/2026

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