SHAYLISE MONEA RANDLE


Address: 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045
Phone: 4402608300

SHAYLISE MONEA RANDLE (NPI# 1629625496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629625496
Entity Type Individual
Full Name SHAYLISE MONEA RANDLE
Credential CT BA MFTT
Practice Address 401 Tuscarawas St W Ste 501
Canton
OH 44702-2045
Mailing Address 434 Eastland Rd
Berea
OH 44017-1217
Practice Telephone 4402608300
Mailing Telephone 4402342006
Enumeration Date 2019-08-26
Last Update Date 2019-08-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor C.1901871-TRNE OH Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist M.1900159-TRNE OH Behavioral Health & Social Service Providers

Office Location

Street Address 401 TUSCARAWAS ST W STE 501
City CANTON
State OH
Zip Code 44702-2045

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942602164 Erin D Heid Counselor 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 2014-09-18
1902407513 Jetaiya Smith Community Health Worker 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 2020-11-02
1427656354 Aaron Schreffler Peer Specialist 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 2020-10-13
1568069029 Brandon Covey Counselor 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 2020-10-07
1518570464 Mya Clemons Community Health Worker 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 2020-08-28
1841824273 Melissa Allison Community Health Worker 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 2020-02-25
1629609748 Amanda Jackson Community Health Worker 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 2020-01-28
1659922797 Emma Campbell Case Management 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 2019-09-20
1063069995 Melissa Marie Manthei Counselor 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 2019-08-26
1417504598 Hailey Adams Community Health Worker 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 2019-08-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588138390 Angela Rhoad Peer Specialist Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 2019-01-15
1710426291 Aaron Valentine Community Health Worker 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 2017-02-17
1386028389 Leigh Fotheringham Skilled Nursing Facility 800 Market Ave. North, Canton, OH 44702 2015-07-20
1427485127 Canton College Preparatory School Local Education Agency (LEA) 101 Cleveland Avenue Nw, Canton, OH 44702 2013-09-26
1730337197 Linda Lee Gemma Registered Nurse 733 Market St South, Canton, OH 44702 2008-08-28
1447372875 Rushina Anil Patel Physical Therapist 800 Market Ave N, Canton, OH 44702 2007-04-05
1124183702 John Mannos Family Medicine 333 2nd St Se, Canton, OH 44702 2006-12-26
1629556949 Judy Chava Nurse Practitioner 400 Tuscarawas St W, Canton, OH 44702 2018-07-30
1609378322 Nicole Osborne Peer Specialist 624 Market Ave N, Canton, OH 44702 2018-03-08
1427550680 Lydia Kate Saylor Counselor 624 Market Ave N, Canton, OH 44702 2018-03-05
Find all providers in zip 44702

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053888446 Kerry Anne Minshew Counselor 42283 Highgate Ct, Canton, MI 48187-3523 2018-10-24
1285109132 Rebekah Watkins LLC Counselor 2800 Market Ave N, Canton, OH 44714-1781 2018-10-08
1518432624 Beverly Ann Tweedy Counselor 843 44th Street Nw, Unit #a, Canton, OH 45709-1647 2018-10-05
1811479009 Linda Adams Counselor 2421 13th Street Nw, Canton, OH 44708 2018-09-04
1588146989 Donna Gail Feinberg Rachwal Counselor 35 Shawmut Rd, Canton, MA 02021-1408 2018-08-31
1801373568 Bethany Moulton Counselor 46972 Bartlett Dr, Canton, MI 48187-1409 2018-07-25
1255823555 Sikeria Caldwell Counselor 7752 N Canton Center Rd, Canton, MI 48187-1328 2018-06-01
1922538099 Heather Filippelli Counselor 43825 Michigan Ave # 1, Canton, MI 48188-2551 2017-06-12
1093166969 Darnell Daniels Counselor 3395 Creeks Bend Ct, Canton, MI 48188-2386 2016-06-22
1609243419 Eric Humble Counselor 359 Troy St, Canton, PA 17724-1015 2015-08-27
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 44702

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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