Provider Demographics
NPI:1285513283
Name:FRANKLIN, SHAYERRA SHAMIERRE SHAMIERRE (PRS, CDCA)
Entity type:Individual
Prefix:
First Name:SHAYERRA SHAMIERRE
Middle Name:SHAMIERRE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:PRS, CDCA
Other - Prefix:MISS
Other - First Name:SHAYERRA
Other - Middle Name:
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PRS, CDCA
Mailing Address - Street 1:685 COOK AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-2411
Mailing Address - Country:US
Mailing Address - Phone:234-313-3430
Mailing Address - Fax:234-313-3430
Practice Address - Street 1:1771 MARKET ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44507-1135
Practice Address - Country:US
Practice Address - Phone:330-744-5143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPS.005034175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist