Healthcare Provider Details

I. General information

NPI: 1851569727
Provider Name (Legal Business Name): SHAY SHAPIRO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2008
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20325 N 51ST AVE STE 168
GLENDALE AZ
85308-4624
US

IV. Provider business mailing address

932 AUDREY LN
PRESCOTT AZ
86301-1726
US

V. Phone/Fax

Practice location:
  • Phone: 360-820-0398
  • Fax:
Mailing address:
  • Phone: 360-820-0398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-20830
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: