Provider Demographics
NPI:1831746379
Name:GARLING, SHANNON (BA)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:
Last Name:GARLING
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2667
Mailing Address - Country:US
Mailing Address - Phone:419-380-0116
Mailing Address - Fax:419-389-6284
Practice Address - Street 1:2460 CHERRY ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2667
Practice Address - Country:US
Practice Address - Phone:419-380-0116
Practice Address - Fax:419-389-6284
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator