Carly Shannon is one of 99 mental health counselors practicing in Dallas, Texas .
Carly Shannon practices with Deep Eddy Psychotherapy Management, LLC.
Registry record (NPPES)
NPI
1407001258
Type
Type 1 · Individual
Primary taxonomy
Counselor, Professional · 101YP2500X
Address on file
4144 N Central Expy Ste 850
Enumerated
Nov 20, 2008
Record last updated
Sep 18, 2025
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXMental Health Counselor
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
4144 N Central Expy Suite 850Dallas , TX 75204
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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