Provider Demographics
NPI:1871007799
Name:SHANNON ROCHELLE SAULSBERRY
Entity Type:Organization
Organization Name:SHANNON ROCHELLE SAULSBERRY
Other - Org Name:SHANNON'S COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:R
Authorized Official - Last Name:SAULSBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:504-224-4523
Mailing Address - Street 1:3013 NEW HIGHWAY 51 STE B
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-6468
Mailing Address - Country:US
Mailing Address - Phone:504-388-4827
Mailing Address - Fax:
Practice Address - Street 1:3013 NEW HIGHWAY 51 STE B
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-6468
Practice Address - Country:US
Practice Address - Phone:504-388-4827
Practice Address - Fax:504-388-4827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-30
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4817251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health