MEDICARE: MS. SHANNON URBANIC LPC, 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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1831764430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHANNON URBANIC LPC, LPCC

Provider Business Mailing Address
First Line	:	2943 SCRANTON RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-5321
Country	:	US
Telephone Number	:	330-807-2679
Fax Number	:

Provider Business Practice Location Address
First Line	:	2943 SCRANTON RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-5321
Country	:	US
Telephone Number	:	330-807-2679
Fax Number	:

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

Provider Enumeration Date	:	05/25/2021
Last Update Date	:	03/01/2026

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