Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Conrady

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093516585

Shannon Conrady is an Addiction (Substance Use Disorder) Counselor in Lakeland, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

4132 Shearwater St
Lakeland, FL 33811-2693
Phone: (863) 274-2399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence MCAP.0101209 (FL)

Record details

NPI number1093516585
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 21, 2025
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025
Mailing address4132 Shearwater St, Lakeland, FL 33811-2693

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