Provider Demographics
NPI:1831318682
Name:SANTORO, SHEILA (PHD, LPCC, CCDCIII)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:SANTORO
Suffix:
Gender:F
Credentials:PHD, LPCC, CCDCIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10298 ANDOVER DR
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-3326
Mailing Address - Country:US
Mailing Address - Phone:440-821-3070
Mailing Address - Fax:
Practice Address - Street 1:10298 ANDOVER DR
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-3326
Practice Address - Country:US
Practice Address - Phone:440-821-3070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH976102101YA0400X
OHE 2606101YP2500X
OH01834103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling