Provider Demographics
NPI:1164823175
Name:SHAVAUN G. JONES INC.
Entity Type:Organization
Organization Name:SHAVAUN G. JONES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAVAUN
Authorized Official - Middle Name:GRAVES
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PCC
Authorized Official - Phone:216-533-0961
Mailing Address - Street 1:18856 NAUMANN AVE
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44119-1662
Mailing Address - Country:US
Mailing Address - Phone:216-533-0961
Mailing Address - Fax:
Practice Address - Street 1:18856 NAUMANN AVE
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44119-1662
Practice Address - Country:US
Practice Address - Phone:216-533-0961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0800148251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health