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NPI Code Detail

MEDICARE: SHAYLYN HAWTHORNE

MEDICARE:   SHAYLYN  HAWTHORNE
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
1101YM0800XMental Health CounselorC.2506937OH

General Provider Information

NPI Number : 1649834433
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYLYN HAWTHORNE
Provider Business Mailing Address
First Line : 4116 MONTICELLO BLVD APT 202
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1754
Country : US
Telephone Number : 330-518-7089
Fax Number :
Provider Business Practice Location Address
First Line : 165 E PARK AVE
Second Line :
City : NILES
State : OH
Zip : 44446-2352
Country : US
Telephone Number : 330-544-8005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2019
Last Update Date : 12/01/2025

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Directions to “ SHAYLYN HAWTHORNE ” Practice Location

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