Miss Shannon M Mullett is a Grand Rapids, Michigan based counselor who is specialized as Counselor. Active license number of Miss Shannon M Mullett is 6801090829 for Social Worker in Michigan. Her current practice location is 790 Fuller Ave Ne, Grand Rapids. Patients can book an appointment with her at 616-855-8950.
Miss Shannon M Mullett is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. She works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. She support her clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Miss Shannon M Mullett speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Miss Shannon M Mullett
Specialization:
Counselor
Gender:
Female
Credentials:
LMSW, CAADC
Accepts Medicare Assignment:
No
Practice Address:
790 Fuller Ave Ne, Grand Rapids, Michigan, 49503-1918
Phone:
616-855-8950
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
NPI Number:
1093018145
NPI Enumeration Date:
13 Dec, 2010
NPI Last Update On:
19 Dec, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Shannon M Mullett are as mentioned below.
License Number
Specialization
State
Status
6801090829
Social Worker
Michigan
Primary
6801090829
Social Worker
Michigan
Secondary
C-03118
Addiction (Substance Use Disorder) Counselor
Michigan
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Miss Shannon M Mullett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0D16159
Other
Michigan
MEDICARE GROUP #
38 2831313
Other
Michigan
TAX ID #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
790 Fuller Ave Ne, Grand Rapids, Michigan
Zip:
49503-1918
Phone Number:
616-855-8950
Patients can reach Miss Shannon M Mullett at 790 Fuller Ave Ne, Grand Rapids, Michigan or can call to book an appointment on 616-855-8950. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.