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Organization
SHAPUITE COUNSELING SERVICES LLC
Active
Organization
SHAPUITE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY M SHAPUITE (OWNER)
(330) 806-0566
Entity
Organization
Contact information
Practice address
1113 ROCKWOOD AVE SW, CANTON, OH 44710-1421
(330) 806-0566
Mailing address
1113 ROCKWOOD AVE SW, CANTON, OH 44710-1421
(330) 806-0566
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12451
—
OH
01
—
87726
OPTUM
—
01
—
967638
ANTHEM BLUE CROSS
—
Enumeration date
11/10/2023
Last updated
11/10/2023
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