MEDICARE: ROLLING WITH LIFE LLC

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

General Provider Information

NPI Number	:	1497613145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROLLING WITH LIFE LLC

Provider Business Mailing Address
First Line	:	3335 ALLENFORD DR SE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44707-1503
Country	:	US
Telephone Number	:	619-686-9734
Fax Number	:

Provider Business Practice Location Address
First Line	:	3335 ALLENFORD DR SE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44707-1503
Country	:	US
Telephone Number	:	619-686-9734
Fax Number	:

Authorized Official
Title or Position	:	CEO/THERAPIST
Name	:	BRIANNA SHERIDAN
Credential	:	LPCC
Telephone Number	:	330-705-1673

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ROLLING WITH LIFE LLC ” Practice Location

Language	Start Address	Practice Location

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