DR. WENDY KIM SHACKLEFORD ED.D., LPCC, NCC
NPI 1073828414
Counselor - Mental Health in Lancaster, OH
Active since August 10, 2010
About Dr. Wendy Kim Shackleford Ed.d., Lpcc, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WENDY KIM SHACKLEFORD ED.D., LPCC, NCC (NPI 1073828414) is an individual mental health provider in Lancaster, Ohio, licensed in Ohio (E1000054) and active in the NPI registry since August 2010.
NPPES Registry Identity
NPI1073828414
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. WENDY KIM SHACKLEFORDCredential: ED.D., LPCC, NCC
Location Address1592 GRANVILLE PIKELancaster, OH 43130-1076
Mailing Address1592 Granville PikeLancaster, OH 43130-1076 · (740) 687-0833
Phone(740) 687-0833
Sole ProprietorYes
Enumeration DateAugust 10, 2010
Last NPPES UpdateJune 11, 2012
✔ NPI 1073828414 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in OH · E1000054✔ Licensed in OH · 270475
1592 GRANVILLE PIKE, Lancaster, OH 43130
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Psychiatry)
1592 GRANVILLE PIKE
LANCASTER, OH 43130
LANCASTER, OH 43130
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073828414, enumerated as an "individual" on August 10, 2010.
The provider is located at 1592 GRANVILLE PIKE LANCASTER, OH 43130 and the phone number is (740) 687-0833.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
