MOLLY K. SHANNON PRC – NPI #1710870217
Peer Specialist

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

MOLLY SHANNON is a peer specialist located in SAGINAW, MI. NPPES has assigned the NPI number 1710870217 to MOLLY SHANNON on June 02, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

See the complete NPI profile for MOLLY SHANNON below.

NPI Profile for
MOLLY K. SHANNON

NPI Number
1710870217
Enumeration Date

(about a year ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MOLLY K. SHANNON
Credentials
PRC
Primary location
128 N WARREN AVE
SAGINAW, MI 48607-1548
Phone: (989) 754-5754 Fax: (989) 754-0315
1 Other location(s):
1044 W Bristol Rd
Flint, MI 48507-5516
Phone: (810) 238-0483
Mailing address
1116 W BRISTOL RD
FLINT, MI 48507-5518
Phone: (810) 238-0483 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jun 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.