Individual provider · Type 1 NPI

Shannon Rose Di Virgilio

Professional Counselor · Memphis, TN

NPI number 1629895669 Active

Practice location

324 Night Sail Dr N Apt 301
Memphis, TN 38103-0010

Call (706) 889-0383 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7013 (TN)

Professional Counselor: Definition to come...

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About NPI 1629895669

Shannon Rose Di Virgilio's National Provider Identifier is 1629895669, issued on Sep 23, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Memphis, TN. The record was last updated on Jun 20, 2026.