Provider Demographics
NPI:1205315942
Name:BIGGS, SHAWNA (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:SHAWNA
Middle Name:
Last Name:BIGGS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:SHAWNA
Other - Middle Name:
Other - Last Name:GEORGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2364 KENT BLVD NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-3930
Mailing Address - Country:US
Mailing Address - Phone:269-503-0821
Mailing Address - Fax:
Practice Address - Street 1:546 76TH ST SW
Practice Address - Street 2:
Practice Address - City:BYRON CENTER
Practice Address - State:MI
Practice Address - Zip Code:49315-8307
Practice Address - Country:US
Practice Address - Phone:206-705-3032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-13
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401224886101Y00000X
MI6362009476103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor