Healthcare Provider Details

I. General information

NPI: 1558832030
Provider Name (Legal Business Name): SHUMAY COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2018
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3928 BRECKSVILLE RD
RICHFIELD OH
44286-9627
US

IV. Provider business mailing address

3928 BRECKSVILLE RD
RICHFIELD OH
44286-9627
US

V. Phone/Fax

Practice location:
  • Phone: 216-440-1973
  • Fax: 216-649-0602
Mailing address:
  • Phone: 216-440-1973
  • Fax: 216-649-0602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA A SHUMAY
Title or Position: OWNER
Credential: LPC
Phone: 216-440-1973