SHELLE MATHIS L.P.C.C. NPI 1801119789

NPI Information

NPI: 1801119789
Provider Name: SHELLE MATHIS, L.P.C.C.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
611 GARFIELD AVE
ELYRIA, OH
ZIP 44035
Phone: (440) 322-7551
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Shelle Mathis, L.P.C.C. is a professional counselor in Elyria, OH. Shelle Mathis, L.P.C.C. NPI is 1801119789. 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:

611 GARFIELD AVE
ELYRIA, OH
ZIP 44035-403
Phone: (440) 322-7551
Fax: (440) 322-7551

The enumeration date for this NPI number is 3/8/2010 and was last updated on 5/28/2020.

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	101YP2500X	Counselor	Professional	C 0600302	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	0303506	MEDICAID	OHIO

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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