MS. JANET ERICKSON SHIPLEY


Address: 102 W Dixie Ave, Leesburg, FL 34748-6351
Phone: 3523238872

MS. JANET ERICKSON SHIPLEY (NPI# 1982105094) 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) 1982105094
Entity Type Individual
Full Name MS. JANET ERICKSON SHIPLEY
Credential LMHC
Practice Address 102 W Dixie Ave
Leesburg
FL 34748-6351
Mailing Address 16435 Meredrew Ln
Clermont
FL 34711-6375
Practice Telephone 3523238872
Practice Fax Number 3528017376
Mailing Telephone 4072934335
Enumeration Date 2018-02-23
Last Update Date 2018-02-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH6470 FL Behavioral Health & Social Service Providers

Office Location

Street Address 102 W DIXIE AVE
City LEESBURG
State FL
Zip Code 34748-6351

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1811474679 Tina Marie Deveau Counselor 5826 Whisper Pine Dr, Leesburg, FL 34748-1333 2018-07-24
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Competitor

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City LEESBURG
Zip Code 34748

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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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