Healthcare Provider Details

I. General information

NPI: 1013338813
Provider Name (Legal Business Name): CASSANDRA SHEPHERD LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2013
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5868 STUMPH RD
PARMA OH
44130-1736
US

IV. Provider business mailing address

9815 MEMPHIS AVE APT 5
BROOKLYN OH
44144-2008
US

V. Phone/Fax

Practice location:
  • Phone: 440-888-5407
  • Fax:
Mailing address:
  • Phone: 216-256-3690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2403993
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: