Clark, Shayla
Clark, Shayla is an sole proprietor health care provider with primary practice located at 2231 N Taylor Rd , Cleveland Heights OH 44112-3044. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Clark, Shayla can be contacted via phone (216) 441-2496.Contact Information
Primary practice address
2231 N Taylor Rd
Cleveland Heights OH 44112-3044
Phone: (216) 441-2496
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.174707 | Ohio |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S.2105852 | Ohio |
Profile Details
| NPI number | 1376176180 |
|---|---|
| LBN Legal business name | Clark, Shayla |
| Credentials | LSW, CDCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2020 |
| Last updated | Jan 23rd, 2021 - about 5 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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