MEDICARE: SHANTELA DEZELL SORRELLS CDCA

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	171M00000X	Case Manager/Care Coordinator		OH
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	CDCA.192670	OH

General Provider Information

NPI Number	:	1396634812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANTELA DEZELL SORRELLS CDCA

Provider Business Mailing Address
First Line	:	87 CONSERVATORY DR
Second Line	:
City	:	BARBERTON
State	:	OH
Zip	:	44203-4291
Country	:	US
Telephone Number	:	440-723-5424
Fax Number	:

Provider Business Practice Location Address
First Line	:	87 CONSERVATORY DR
Second Line	:
City	:	BARBERTON
State	:	OH
Zip	:	44203-4291
Country	:	US
Telephone Number	:	440-723-5424
Fax Number	:

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

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	12/03/2025

Similar Medicare Providers

1962513747 — DIAMOND FAMILY PRACTICE, LLC
Practice Location Address:

87 CONSERVATORY DR , SUITE B
BARBERTON, OH
44203-4291

Practice Phone: 330-753-2400
Practice Fax: 330-753-3878

1972776862 — DR. MARTIN E SCHLUETER MD
Practice Location Address:

87 CONSERVATORY DR , STE. A
BARBERTON, OH
44203-4291

Practice Phone: 330-794-7993
Practice Fax: 330-794-7996

1952659013 — MR. MATTHEW TAYLOR MA, LPC, NCC, LICDC
Practice Location Address:

87 CONSERVATORY DR
BARBERTON, OH
44203-4291

Practice Phone: 234-334-0303
Practice Fax:

1801328497 — CATHRINE YOUNGS
Practice Location Address:

87 CONSERVATORY DR
BARBERTON, OH
44203-4291

Practice Phone: 234-334-0303
Practice Fax:

1992221717 — NICOLE MARIE ARGENIO CDCA
Practice Location Address:

87 CONSERVATORY DR
BARBERTON, OH
44203-4291

Practice Phone: 234-334-0303
Practice Fax:

1679064703 — PINNACLE TREATMENT CENTERS OH-III, LLC
Practice Location Address:

87 CONSERVATORY DR
BARBERTON, OH
44203-4291

Practice Phone: 234-334-0306
Practice Fax: 234-334-4832

Directions to “ SHANTELA DEZELL SORRELLS CDCA” 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 © 2007-2025 (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.