Provider Demographics
NPI:1174947600
Name:WARD, SHANNON (LPCC)
Entity type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LOCUST ST
Mailing Address - Street 2:SUITE 280
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1821
Mailing Address - Country:US
Mailing Address - Phone:330-543-3963
Mailing Address - Fax:330-543-4271
Practice Address - Street 1:300 LOCUST ST
Practice Address - Street 2:SUITE 280
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1821
Practice Address - Country:US
Practice Address - Phone:330-543-3963
Practice Address - Fax:330-543-4271
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1600018101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional