MEDICARE: MINDFULHIVE PSYCHIATRY

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1386596922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDFULHIVE PSYCHIATRY

Provider Business Mailing Address
First Line	:	6545 MARKET AVE N # 100
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44721-2430
Country	:	US
Telephone Number	:	330-718-0487
Fax Number	:

Provider Business Practice Location Address
First Line	:	6677 SODOM HUTCHINGS RD
Second Line	:
City	:	GIRARD
State	:	OH
Zip	:	44420-1211
Country	:	US
Telephone Number	:	330-718-0487
Fax Number	:

Authorized Official
Title or Position	:	PMHNP
Name	:	DR. SHARON PAULINE HAWOUT
Credential	:	DNP
Telephone Number	:	330-718-0487

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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