Provider Demographics
NPI:1942660782
Name:HOOVER, SHAUNA (MSED, LPCC)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:
Last Name:HOOVER
Suffix:
Gender:F
Credentials:MSED, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6660 N HIGH ST
Mailing Address - Street 2:SUITE 2E
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2537
Mailing Address - Country:US
Mailing Address - Phone:614-507-8558
Mailing Address - Fax:
Practice Address - Street 1:6660 N HIGH ST
Practice Address - Street 2:SUITE 2E
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2537
Practice Address - Country:US
Practice Address - Phone:614-507-8558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-06
Last Update Date:2016-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.12000150101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health