SHAYLISE MONEA RANDLE LPC
NPI 1629625496
Counselor - Mental Health in Canton, OH
Active since August 26, 2019
About Shaylise Monea Randle Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAYLISE MONEA RANDLE LPC (NPI 1629625496) is an individual mental health provider in Canton, Ohio, licensed in Ohio (C.2002874) and active in the NPI registry since August 2019.
NPPES Registry Identity
NPI1629625496
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHAYLISE MONEA RANDLECredential: LPC
Location Address401 TUSCARAWAS ST W STE 501Canton, OH 44702-2045
Mailing Address434 Eastland RdBerea, OH 44017-1217 · (440) 234-2006
Phone(440) 260-8300
Sole ProprietorYes
Enumeration DateAugust 26, 2019
Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
✔ NPI 1629625496 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · C.2002874
Also ListedCounselorTaxonomy 101Y00000X · License C.1901871-TRNE (OH)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License M.1900159-TRNE (OH)
401 TUSCARAWAS ST W STE 501, Canton, OH 44702
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.
Registered Nurse (Community Health)
401 TUSCARAWAS ST W STE 501
CANTON, OH 44702
CANTON, OH 44702
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629625496, enumerated as an "individual" on August 26, 2019.
The provider is located at 401 TUSCARAWAS ST W STE 501 CANTON, OH 44702 and the phone number is (440) 260-8300.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
