Provider Demographics
NPI:1356419477
Name:KEMP-PRICE, SHANA (LPCC-S)
Entity type:Individual
Prefix:
First Name:SHANA
Middle Name:
Last Name:KEMP-PRICE
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 RIVERSIDE DR STE 120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2550
Mailing Address - Country:US
Mailing Address - Phone:740-605-8199
Mailing Address - Fax:
Practice Address - Street 1:3040 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2551
Practice Address - Country:US
Practice Address - Phone:740-605-8199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor