MR. SHAWN GURLEY B.S. CDCA NPI 1336522671

NPI Information

NPI: 1336522671
Provider Name: MR. SHAWN GURLEY, B.S. CDCA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
809 W VINE ST
LIMA, OH
ZIP 45804
Phone: (419) 222-4474
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MR. Shawn Gurley, B.S. CDCA is an addiction (substance use disorder) counselor in Lima, OH. MR. Shawn Gurley, B.S. CDCA NPI is 1336522671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

809 W VINE ST
LIMA, OH
ZIP 45804-054
Phone: (419) 222-4474
Fax: (419) 222-7044

The enumeration date for this NPI number is 7/6/2015 and was last updated on 2/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	251B00000X	Case Management		1336522671	OHIO	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1336522671	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1336522671	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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