Provider Demographics
NPI:1831368828
Name:KNIGHT, SHANON L (LMHC)
Entity type:Individual
Prefix:MS
First Name:SHANON
Middle Name:L
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:SHANON
Other - Middle Name:L
Other - Last Name:MAHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:680 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-3308
Mailing Address - Country:US
Mailing Address - Phone:508-941-7228
Mailing Address - Fax:508-941-6494
Practice Address - Street 1:680 CENTRE ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302-3308
Practice Address - Country:US
Practice Address - Phone:508-941-7228
Practice Address - Fax:508-941-6494
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7631101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health