Provider Demographics
NPI:1548588312
Name:YANTIS, SHAWN (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:YANTIS
Suffix:
Gender:
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3606 W ANDREW JOHNSON HWY
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3603
Mailing Address - Country:US
Mailing Address - Phone:865-378-6929
Mailing Address - Fax:
Practice Address - Street 1:1400 DOWELL SPRINGS BLVD STE 330
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2445
Practice Address - Country:US
Practice Address - Phone:865-371-8573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7601101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional