Provider Demographics
NPI:1760895445
Name:DUFFY, SHAINA A (LPCC)
Entity Type:Individual
Prefix:
First Name:SHAINA
Middle Name:A
Last Name:DUFFY
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 1:33480 LIBERTY PKWY
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-2670
Mailing Address - Country:US
Mailing Address - Phone:440-732-5252
Mailing Address - Fax:440-202-6252
Practice Address - Street 1:33480 LIBERTY PKWY
Practice Address - Street 2:
Practice Address - City:NORTH RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-2670
Practice Address - Country:US
Practice Address - Phone:440-732-5252
Practice Address - Fax:440-202-6252
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC 110491101Y00000X
OHE1700389101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor