Provider Demographics
NPI:1598042533
Name:DECREE, SHEKYRA (PCC)
Entity type:Individual
Prefix:MRS
First Name:SHEKYRA
Middle Name:
Last Name:DECREE
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 GAYLE DR
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-2885
Mailing Address - Country:US
Mailing Address - Phone:614-309-2883
Mailing Address - Fax:
Practice Address - Street 1:261 W JOHNSTOWN RD STE 108
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-2887
Practice Address - Country:US
Practice Address - Phone:614-454-1377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-04
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0600534101YP2500X
OHE.0600534-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional