SHELLIE CARTER CDCA NPI 1578051769

NPI Information

NPI: 1578051769
Provider Name: SHELLIE CARTER, CDCA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
780 PARK AVE W
MANSFIELD, OH
ZIP 44906
Phone: (419) 709-8103
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Shellie Carter, CDCA is an addiction (substance use disorder) counselor in Mansfield, OH. Shellie Carter, CDCA NPI is 1578051769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

780 PARK AVE W
MANSFIELD, OH
ZIP 44906-009
Phone: (419) 709-8103

The enumeration date for this NPI number is 4/24/2018 and was last updated on 4/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	163093	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	163093	OTHER	OHIO	CDCA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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