Provider Demographics
NPI:1295456457
Name:KAREN SHINNERS MSSA LISW-S COUNSELING
Entity type:Organization
Organization Name:KAREN SHINNERS MSSA LISW-S COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHINNERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-352-4256
Mailing Address - Street 1:20325 CENTER RIDGE RD STE 612
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3554
Mailing Address - Country:US
Mailing Address - Phone:216-352-4256
Mailing Address - Fax:216-352-4258
Practice Address - Street 1:20325 CENTER RIDGE RD STE 612
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3554
Practice Address - Country:US
Practice Address - Phone:216-352-4256
Practice Address - Fax:216-352-4258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty