Provider Demographics
NPI:1649503509
Name:LOPES-KEYES, SHAWNA MARIE (MA LMHC)
Entity type:Individual
Prefix:
First Name:SHAWNA
Middle Name:MARIE
Last Name:LOPES-KEYES
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:SHAWNA
Other - Middle Name:MARIE
Other - Last Name:LOPES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, MA, LMHC
Mailing Address - Street 1:5500 N MAIN ST
Mailing Address - Street 2:17307
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-2061
Mailing Address - Country:US
Mailing Address - Phone:508-837-9145
Mailing Address - Fax:774-955-5405
Practice Address - Street 1:45 N MAIN ST
Practice Address - Street 2:SUITE 301
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-2133
Practice Address - Country:US
Practice Address - Phone:508-837-9145
Practice Address - Fax:774-955-5405
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8334101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA8334OtherCOMMONWEALTH OF MA