Provider Demographics
NPI:1215094206
Name:CARINO, SHANNAH LYNN (MA, LPCC-S)
Entity type:Individual
Prefix:
First Name:SHANNAH
Middle Name:LYNN
Last Name:CARINO
Suffix:
Gender:F
Credentials:MA, LPCC-S
Other - Prefix:
Other - First Name:SHANNAH
Other - Middle Name:
Other - Last Name:SIMMONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC-S
Mailing Address - Street 1:96 OVERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-3967
Mailing Address - Country:US
Mailing Address - Phone:330-472-6421
Mailing Address - Fax:
Practice Address - Street 1:799 WHITE POND DR STE C
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-1189
Practice Address - Country:US
Practice Address - Phone:330-522-1784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
OH0008370101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator