Provider Demographics
NPI:1205388261
Name:MCELHONE, SHANNON ANNE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:SHANNON
Middle Name:ANNE
Last Name:MCELHONE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:SHANNON
Other - Middle Name:ANNE
Other - Last Name:MCELHONE-BOBO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:14202 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11351-3000
Mailing Address - Country:US
Mailing Address - Phone:917-563-3350
Mailing Address - Fax:646-829-1363
Practice Address - Street 1:14202 20TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11351-3000
Practice Address - Country:US
Practice Address - Phone:917-563-3350
Practice Address - Fax:646-829-1363
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health