| Shawn D Powers, Ma, Lpcc-s, Llc | |
|
12299 Sheldon Rd Mantua OH 44255-9698 | |
| (440) 429-9098 | |
| Not Available |
| Full Name | Shawn D Powers, Ma, Lpcc-s, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12299 Sheldon Rd, Mantua, Ohio |
| Authorized Official Name and Position | Shawn D Powers (OWNER) |
| Authorized Official Contact | 4404299098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn D Powers, Ma, Lpcc-s, Llc 12299 Sheldon Rd Mantua OH 44255-9698 Ph: (440) 429-9098 | Shawn D Powers, Ma, Lpcc-s, Llc 12299 Sheldon Rd Mantua OH 44255-9698 Ph: (440) 429-9098 |
| NPI Number | 1053114843 |
|---|---|
| Provider Enumeration Date | 03/28/2025 |
| Last Update Date | 03/28/2025 |
| Certification Date | 03/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053114843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Hattie Larlham Center For Children With Disablilites Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9772 Diagonal Road, Mantua, OH 44255 Phone: 330-274-2272 Fax: 330-732-2467 |