Provider Demographics
NPI:1326529686
Name:PARM, SHAWNA (CDCA)
Entity Type:Individual
Prefix:
First Name:SHAWNA
Middle Name:
Last Name:PARM
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 EVANS ST STE 104
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45204-2075
Mailing Address - Country:US
Mailing Address - Phone:513-903-6559
Mailing Address - Fax:513-279-3161
Practice Address - Street 1:801 EVANS ST STE 104
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45204-2075
Practice Address - Country:US
Practice Address - Phone:513-903-6559
Practice Address - Fax:513-279-3161
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X
OHAPS.003447175T00000X
OHCDCA.181847101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No172V00000XOther Service ProvidersCommunity Health Worker
No175T00000XOther Service ProvidersPeer Specialist