Dr Shannon Headley, DO, LPC is a
Counselor - Mental Health physician based in Sand Springs, Oklahoma. Dr Shannon Headley is licensed to practice in Oklahoma (license number 5650) and her current practice location is 401 E Broadway St, Sand Springs, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 245-5565.
NPI number for Dr Shannon Headley is 1326484015 and her current mailing address is 401 E Broadway St, Sand Springs, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326484015.
Physician's Profile
| Full Name | Dr Shannon Headley |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 401 E Broadway St, Sand Springs, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326484015
- Provider Enumeration Date: 05/21/2013
- Last Update Date: 09/15/2024
Medical Identifiers
Medical identifiers for Dr Shannon Headley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326484015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | OS21177 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | 5650 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shannon Headley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Shannon Headley, DO, LPC
401 E Broadway St,
Sand Springs, OK 74063-7965
Ph: (918) 245-5565 | Dr Shannon Headley, DO, LPC
401 E Broadway St,
Sand Springs, OK 74063-7965
Ph: (918) 245-5565 |
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