National Provider Identifier
Shiva Minerva Campbell
Shiva Minerva Campbell is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Kenmore, NY and a listed phone number of (716) 882-2127.
Source: public NPPES record, last updated February 03, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1871260547
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- August 30, 2021
- Last Updated
- February 03, 2022
Practice Location
- 2495 Elmwood Ave
- Kenmore, NY 14217-2222
Phone: (716) 882-2127
Specialties
- Mental Health Counselor (101YM0800X)
Browse Similar Providers
See more providers in the Counselor classification in Buffalo, NY.
Open Counselor providers in Buffalo, NY
Open the exact Mental Health specialty directory in Buffalo, NY
Biography
Shiva Campbell is a Western New York mental health counselor based in the Kenmore-Buffalo area. Public federal registry information does not list additional training, faculty, hospital, research, or leadership affiliations.
Full Record
- NPI
- 1871260547
- Entity Type
- Individual
- Last Name
- Campbell
- First Name
- Shiva
- Middle Name
- Minerva
- Mailing Street Address
- 2495 Elmwood Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2222
- Mailing Country
- US
- Mailing Phone
- (716) 882-2127
- Practice Street Address
- 2495 Elmwood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2222
- Practice Country
- US
- Practice Phone
- (716) 882-2127
- Enumeration Date
- August 30, 2021
- Last Updated
- February 03, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 03, 2022
- Taxonomies
- Mental Health Counselor (101YM0800X)