Provider Demographics
NPI:1427191253
Name:SHONTS, WILLIAM EDWARD (LPC, MHSP, CPA, ACAS)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:SHONTS
Suffix:
Gender:M
Credentials:LPC, MHSP, CPA, ACAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 SAUNDERSVILLE RD STE 404
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-8965
Mailing Address - Country:US
Mailing Address - Phone:615-445-5990
Mailing Address - Fax:
Practice Address - Street 1:35 EXECUTIVE PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3478
Practice Address - Country:US
Practice Address - Phone:615-445-5990
Practice Address - Fax:615-265-8692
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2722101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3370086Medicare PIN