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Individual

SHAMIKA DENISE HAYWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6143 GOLDENROD LN, LORAIN, OH 44053-4371
(317) 362-4227
Mailing address
18921 COFFINBERRY BLVD, CLEVELAND, OH 44126-1601
(216) 225-9799

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
OH
103K00000X
Behavior Analyst
OH
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator
171W00000X
Contractor
OH
172V00000X
Community Health Worker
OH
175T00000X
Peer Specialist
OH
376K00000X
Nurse's Aide
OH
385H00000X
Respite Care
Primary
OH
385H00000X
Respite Care
385HR2055X
Child Mental Illness Respite Care
OH
385HR2055X
Child Mental Illness Respite Care

Other

Enumeration date
01/13/2022
Last updated
08/03/2024
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