MS. SURILLA SHAW NPI 1275998965

NPI Information

  • NPI: 1275998965
  • Provider Name: MS. SURILLA SHAW
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 9481 YORKTOWN DR
    SAINT LOUIS, MO
    ZIP 63137
  • Phone: (314) 437-9028

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NPI Details

MS. Surilla Shaw is a professional counselor in Saint Louis, MO. MS. Surilla Shaw NPI is 1275998965. 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:

9481 YORKTOWN DR
SAINT LOUIS, MO
ZIP 63137-327
Phone: (314) 437-9028

The enumeration date for this NPI number is 12/22/2015 and was last updated on 2/6/2021.

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
1101YP2500XCounselorProfessional2012040739MISSOURIYes

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
12012040739OTHERMISSOURILPC

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: 11/21/2025

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