Provider Demographics
NPI:1700531142
Name:BARLOW, SHAWNA SLONE (LLPC)
Entity Type:Individual
Prefix:
First Name:SHAWNA
Middle Name:SLONE
Last Name:BARLOW
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:SHAWNA
Other - Middle Name:LOUISE
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:336 MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-3421
Mailing Address - Country:US
Mailing Address - Phone:425-905-8400
Mailing Address - Fax:
Practice Address - Street 1:50258 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48317-1374
Practice Address - Country:US
Practice Address - Phone:586-884-4714
Practice Address - Fax:586-884-4693
Is Sole Proprietor?:No
Enumeration Date:2022-02-15
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451022106101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional