| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHELLE A SHAKUR | 1902528771 | 2022-09-16 |
Michelle A Shakur is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1902528771. Registration indicates Michelle A Shakur is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Michelle A Shakur |
| Other Provider Name | Michelle A Kaiser |
| Practice Office Address | 4401 ROCKSIDE RD INDEPENDENCE, OH US |
| Practice Office Telephone | 2162252350 |
| Mailing Address | 13609 OAKVIEW BLVD GARFIELD HTS, OH 441256056 US |
| Business Telephone | 2162252350 |
| Code | Practice | License No State |
|---|---|---|
| 104100000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers |
OH |
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |