Speaks, Shannon Rae
Speaks, Shannon Rae is an sole proprietor health care provider with primary practice located at 6933 Saint Regis Blvd , Hudson OH 44236-3224. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Speaks, Shannon Rae can be contacted via phone (330) 554-1196.Contact Information
Primary practice address
6933 Saint Regis Blvd
Hudson OH 44236-3224
Phone: (330) 554-1196
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.0900288-SUPV | Ohio |
Profile Details
| NPI number | 1073122313 |
|---|---|
| LBN Legal business name | Speaks, Shannon Rae |
| Credentials | LISW-S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2020 |
| Last updated | Jul 29th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073122313 | NPPES |
| Ohio | Other | I.0900288-SUPV | OHIO COUNSELOR, SOCIAL WORKER & MARRIAGE AND FAMILY THERAPIST BOARD |
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