Provider Demographics
NPI:1770363319
Name:MCMANUS, SHANNON (PLPC)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 HUNTINGTON HILLS LN NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1820
Mailing Address - Country:US
Mailing Address - Phone:678-296-2499
Mailing Address - Fax:
Practice Address - Street 1:3113 ROSWELL RD STE 204
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-5500
Practice Address - Country:US
Practice Address - Phone:470-396-0591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor