DR. WENDY KIM SHACKLEFORD ED.D. LPCC NCC NPI 1073828414

NPI Information

NPI: 1073828414
Provider Name: DR. WENDY KIM SHACKLEFORD, ED.D., LPCC, NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1592 GRANVILLE PIKE
LANCASTER, OH
ZIP 43130
Phone: (740) 687-0833
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DR. Wendy Kim Shackleford, ED.D., LPCC, NCC is a mental health counselor in Lancaster, OH. DR. Wendy Kim Shackleford, ED.D., LPCC, NCC NPI is 1073828414. 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:

1592 GRANVILLE PIKE
LANCASTER, OH
ZIP 43130-076
Phone: (740) 687-0833

The enumeration date for this NPI number is 8/10/2010 and was last updated on 6/11/2012.

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	101YM0800X	Counselor	Mental Health	270475	OHIO	No
2	101YM0800X	Counselor	Mental Health	E1000054	OHIO	Yes

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: 4/28/2024

NPI Synchronization or Removal

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