Healthcare Provider Details

I. General information

NPI: 1215690508
Provider Name (Legal Business Name): DEANNA M SLIFKA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2021
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

189 CHURCHILL HUBBARD RD
YOUNGSTOWN OH
44505-1322
US

IV. Provider business mailing address

189 CHURCHILL HUBBARD RD
YOUNGSTOWN OH
44505-1322
US

V. Phone/Fax

Practice location:
  • Phone: 330-509-1432
  • Fax:
Mailing address:
  • Phone: 330-509-1432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2607249
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: