| Shapuite Counseling Services Llc | |
|
1113 Rockwood Ave Sw Canton OH 44710-1421 | |
| (330) 806-0566 | |
| Not Available |
| Full Name | Shapuite Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 1113 Rockwood Ave Sw, Canton, Ohio |
| Authorized Official Name and Position | Cindy M Shapuite (OWNER) |
| Authorized Official Contact | 3308060566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shapuite Counseling Services Llc 1113 Rockwood Ave Sw Canton OH 44710-1421 Ph: (330) 806-0566 | Shapuite Counseling Services Llc 1113 Rockwood Ave Sw Canton OH 44710-1421 Ph: (330) 806-0566 |
| NPI Number | 1023882008 |
|---|---|
| Provider Enumeration Date | 11/10/2023 |
| Last Update Date | 11/10/2023 |
| Certification Date | 11/10/2023 |
| Medicare PECOS PAC ID | 4981056090 |
|---|---|
| Medicare Enrollment ID | O20240113000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023882008 | NPI | - | NPPES |
| 12451 | Medicaid | OH | |
| 967638 | Other | ANTHEM BLUE CROSS | |
| 87726 | Other | OPTUM |
| Provider Name | Cindy M Shapuite |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104096221 PECOS PAC ID: 5890147904 Enrollment ID: I20240117001313 |
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