Shelton, Miranda S.

Shelton, Miranda S. is an individual health care provider with primary practice located at 580 Park Ave W , Mansfield OH 44906-3722. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Shelton, Miranda S. can be contacted via phone (833) 510-4357.

Contact Information

Primary practice address
580 Park Ave W Mansfield OH 44906-3722
Phone: (833) 510-4357
Fax: (866) 460-2997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.175537 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio
Other Service Providers / Community Health Worker 172V00000X Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.180023 Ohio

Profile Details

NPI number 1023680774
LBN Legal business name Shelton, Miranda S.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2021
Last updated Aug 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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