Shannon Logan, LAC
Counselor, Mental Health in Lyndhurst, New Jersey
1508424060- Practice location
- 1050 Wall St W Ste 310, Lyndhurst, NJ 07071-3615
- Phone
- 732-982-2888
- Fax
- 847-859-5885
- Last updated
- May 30, 2019
Shannon Logan is a Counselor, Mental Health based in Lyndhurst, NJ. Shannon Logan practices in Lyndhurst, NJ and has the professional credentials of LAC. The NPI Number for Shannon Logan is 1508424060 and holds a License No. 37AC00293400 (NJ). The current practice location address for Shannon Logan is 1050 Wall St W Ste 310, Lyndhurst, NJ 07071-3615 and can be reached out via phone at 732-982-2888 and via fax at 847-859-5885.
Provider Profile Details
- NPI Number
- 1508424060
- Provider Name
- Shannon Logan
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1050 Wall St W Ste 310, Lyndhurst, NJ 07071-3615
- Phone Number
- 732-982-2888
- Fax Number
- 847-859-5885
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 30, 2019
- Last Update Date
- May 30, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1050 Wall St W Ste 310
Lyndhurst, NJ 07071-3615 - City
- Lyndhurst
- State
- New Jersey
- Zip
- 07071-3615
- Phone Number
- 732-982-2888
- Fax Number
- 847-859-5885
Provider Business Mailing Address Details
- Address
- 175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454 - City
- Vernon Hills
- State
- IL
- Zip
- 60061-1454
- Phone Number
- 847-737-8768
- Fax Number
- 847-859-5885
License Information
- License Number
- 37AC00293400
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Lyndhurst, NJ
View all Counselor, Mental Health providers in Lyndhurst →- Comprehensive Behavioral Healthcare, INC.Counselor, Mental Health · NPI 1134176720
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- Janet L Freindlich, LCSWCounselor, Mental Health · NPI 1831326131
- Joann Elliott, LPCCounselor, Mental Health · NPI 1326480963
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Frequently Asked Questions
What is the NPI number of Shannon Logan, LAC?
The NPI number of Shannon Logan, LAC is 1508424060. It was assigned on May 30, 2019 and is currently active in the NPPES registry.
What is the specialty of Shannon Logan, LAC?
Shannon Logan, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00293400.
Where does Shannon Logan, LAC practice?
The practice location is 1050 Wall St W Ste 310, Lyndhurst, NJ 07071-3615. The office can be reached at 732-982-2888 (phone) or 847-859-5885 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508424060 directly on the NPPES registry website.