Individual provider · Type 1 NPI

Shannon Siracusa, LMHC

Mental Health Counselor · Port Charlotte, FL

NPI number 1730609959 Active

Practice location

1777 Tamiami Trl Ste 201
Port Charlotte, FL 33948-1064

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH22831 (FL)

Mental Health Counselor: Definition to come...

22 other providers at this address

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About NPI 1730609959

Shannon Siracusa, LMHC's National Provider Identifier is 1730609959, issued on Jun 20, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Charlotte, FL. The record was last updated on Jun 26, 2026.