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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIERRA NYKEL SHACKLEFORD-BANKS

Active

Marriage & Family Therapist · BEREA, OH

Registration Details

NPI Number
1376074948
Provider Type
Individual
Gender
Female
NPI Issued
Mar 24, 2017 (9.0882176684787 yrs)
Last Updated
Jun 20, 2023
License
M.2300340-TRNE (OH)

Practice Information

Address
202 E BAGLEY RD
BEREA, OH, 440172058
Browse OH providers · Browse ZIP 44017
Phone
4402342006
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in BEREA, OH

Name Credential NPI
ERIKA HANNAH 1154866432
I-SHAN YANG IMFT 1386170439
JOSHUA PETER BRADY 1871150805
ARIEL DURDEN QMHSMA,CMS 1568109866
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.