MEDICARE: SHEA KVACHUK LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	E.2606842	OH

General Provider Information

NPI Number	:	1003222423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEA KVACHUK LPCC

Provider Business Mailing Address
First Line	:	1105 WILMINGTON AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45420-1684
Country	:	US
Telephone Number	:	937-253-0606
Fax Number	:

Provider Business Practice Location Address
First Line	:	1105 WILMINGTON AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45420-1684
Country	:	US
Telephone Number	:	937-253-0606
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2014
Last Update Date	:	06/10/2026

Similar Medicare Providers

1265365704 — ASHLEIGH BROOKE BENDER
Practice Location Address:

1105 WILMINGTON AVE
DAYTON, OH
45420-1684

Practice Phone: 937-253-0606
Practice Fax:

1376475442 — WP HEALTHCARE LLC
Practice Location Address:

264 WILMINGTON AVE
DAYTON, OH
45420-1989

Practice Phone: 937-256-4663
Practice Fax:

1356346985 — DR. FRANK PETER MANNARINO MD
Practice Location Address:

3205 WOODMAN DR
DAYTON, OH
45420-1143

Practice Phone: 937-298-4417
Practice Fax: 937-298-8260

1518962141 — RICHARD WAYNE FORSTER MD
Practice Location Address:

3205 WOODMAN DR
DAYTON, OH
45420-1143

Practice Phone: 937-298-4417
Practice Fax: 937-298-8260

1467457085 — DR. PIETRO SENI MD
Practice Location Address:

3205 WOODMAN DR
DAYTON, OH
45420-1143

Practice Phone: 937-298-4417
Practice Fax: 937-298-8260

1023017886 — PAUL ANTHONY NITZ MD
Practice Location Address:

3205 WOODMAN DR
DAYTON, OH
45420-1143

Practice Phone: 937-298-4417
Practice Fax: 937-298-8260

Directions to “ SHEA KVACHUK LPCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.