Provider Demographics
NPI:1962002493
Name:MASSEY-CURTIS, SHANNON (BS, MS, HS-BCP)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:
Last Name:MASSEY-CURTIS
Suffix:
Gender:F
Credentials:BS, MS, HS-BCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 PILCHARD DR
Mailing Address - Street 2:
Mailing Address - City:POINCIANA
Mailing Address - State:FL
Mailing Address - Zip Code:34759-4722
Mailing Address - Country:US
Mailing Address - Phone:240-483-5690
Mailing Address - Fax:
Practice Address - Street 1:1709 PILCHARD DR
Practice Address - Street 2:
Practice Address - City:POINCIANA
Practice Address - State:FL
Practice Address - Zip Code:34759-4722
Practice Address - Country:US
Practice Address - Phone:240-483-5690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker