Organization Active NPI

Shannon Wood Williams LMFT, Inc

Doing business as Affirming Life Counseling and Coaching

  • Marriage & Family Therapist
  • Panama City, FL
National Provider Identifier
1386625648
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT0001097 Issued in FL
Legal business name
SHANNON WOOD WILLIAMS LMFT, INC
Doing business as
Affirming Life Counseling and Coaching
Practice address
730 Jenks Ave
Panama City, FL 32401-2436
Phone
(850) 769-3756
Fax
(850) 769-3757
NPI assigned
Nov 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Shannon Gail Wood-Williams, MSNPI 1497915938
Title
President Owner
Phone
(850) 769-3756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MT0001097 FL Primary

Addresses

Primary practice location

730 Jenks Ave
Panama City, FL 32401-2436

Mailing address

730 Jenks Ave
Panama City, FL 32401-2436
Phone (850) 769-3756

Other identifiers 1

IdentifierTypeStateIssuer
MT0001097OtherFLLICENSE NUMBER

Other names 1

  • Affirming Life Counseling and Coaching Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386625648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012436",
            "telephone_number": "850-769-3756",
            "fax_number": "850-769-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012436",
            "telephone_number": "850-769-3756",
            "fax_number": "850-769-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON WOOD WILLIAMS LMFT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD-WILLIAMS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "850-769-3756",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT0001097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MT0001097",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affirming Life Counseling and Coaching",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.