Provider Demographics
NPI:1225712045
Name:PLOUNT, SHANA SAMANTHA
Entity type:Individual
Prefix:
First Name:SHANA
Middle Name:SAMANTHA
Last Name:PLOUNT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 RENO HWY STE 433
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-2772
Mailing Address - Country:US
Mailing Address - Phone:775-404-5444
Mailing Address - Fax:
Practice Address - Street 1:20 N ADA ST
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-2906
Practice Address - Country:US
Practice Address - Phone:775-404-5444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00841-C101YA0400X
NV9226-M104100000X
NVIC-17341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker