Shaffer, Kayla K

Shaffer, Kayla K is an sole proprietor health care provider with primary practice located at 1716 North Rd Se , Warren OH 44484-2907. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Shaffer, Kayla K can be contacted via phone (330) 539-3200.

Contact Information

Primary practice address
1716 North Rd Se Warren OH 44484-2907
Phone: (330) 539-3200
Fax: (330) 529-5241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN.136876.MEDS Ohio
Agencies / Community/Behavioral Health 251S00000X CDCA.169967 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C.2103660 Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X C.1901526-TRNE Ohio

Profile Details

NPI number 1851869556
LBN Legal business name Shaffer, Kayla K
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2018
Last updated Jun 21st, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851869556 NPPES
Ohio MEDICAID 0332221

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