IndividualActive
Alexis Shannon, MSW
NPI 1093496663 · Mental Health Counselor · Brandon, MS
Provider details
- NPI number
- 1093496663
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
613 Marquette Rd
Brandon, MS 39042-3038
Phone: (601) 824-1692
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 88
Brandon, MS 39043-0088
Registry dates
- Enumerated
- 2023-07-27
- Last updated
- 2023-07-27
- Certified
- 2023-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.