Individual provider · Type 1 NPI
Erica Shannon
Mental Illness Community Based Residential Treatment Facility · Sumter, SC
NPI number
1760387013
Active
Practice location
208 W Hampton Ave
Sumter, SC 29150-4912
Mailing address
9 N Pike W
Sumter, SC 29153-2025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 269067 (SC) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
2 other providers at this address
About NPI 1760387013
Erica Shannon's National Provider Identifier is 1760387013, issued on Oct 8, 2026. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Sumter, SC. The record was last updated on Oct 8, 2026.