Provider Demographics
NPI:1902360209
Name:SHARI CIMINO PLLC
Entity Type:Organization
Organization Name:SHARI CIMINO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMSW
Authorized Official - Prefix:
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:L
Authorized Official - Last Name:CIMINO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-751-7005
Mailing Address - Street 1:7768 EMBASSY DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-1588
Mailing Address - Country:US
Mailing Address - Phone:734-751-7005
Mailing Address - Fax:734-582-4028
Practice Address - Street 1:42225 ANN ARBOR RD E
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-4364
Practice Address - Country:US
Practice Address - Phone:734-751-7005
Practice Address - Fax:734-582-4028
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHARI CIMINO PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty