Shannon Gail Wood-Williams, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT0001097 Issued in FL

Practice address

730 Jenks Ave
Panama City, FL 32401-2530

Phone

(850) 769-3756

Fax

(850) 769-3757

NPI assigned

Jun 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shannon Wood Williams LMFT, Inc

  • Marriage & Family Therapist
  • Panama City, FL
  • NPI 1386625648
  NPD (past) Authorized official

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1497915938",
    "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": "324012530",
            "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": "324012530",
            "telephone_number": "850-769-3756",
            "fax_number": "850-769-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD-WILLIAMS",
        "first_name": "SHANNON",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT0001097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z2090",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solomon Wolff, APRN
• Wolford Family Practice Inc
• James Todd Wolfrom, PHARM.D.
• Jeanie J. Wolter, LMHC
• Larry T Wong, D.O.
• Breanna Wood
• Burnetta Wood, LPN
• Caitlin Wood
• Kelly Carroll Wood, P.A.
• Summer Nicole Wood

• Marriage & Family Therapist in Panama City, FL
• Providers in Panama City, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.