Provider Demographics
NPI:1851569727
Name:SHAPIRO, SHAY (LPC)
Entity Type:Individual
Prefix:
First Name:SHAY
Middle Name:
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 AUDREY LN
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-1726
Mailing Address - Country:US
Mailing Address - Phone:360-820-0398
Mailing Address - Fax:
Practice Address - Street 1:8705 E EASTRIDGE RD
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-8563
Practice Address - Country:US
Practice Address - Phone:360-820-0398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-20830101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health