Individual provider · Type 1 NPI

Shilah Kidd, CT

Mental Health Counselor · Cleveland, OH

NPI number 1093396038 Active

Practice location

1400 E 55th St
Cleveland, OH 44103-1304

Mailing address

1416 Cranover Rd
Lyndhurst, OH 44124-2324

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA.175345 (OH)
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XC.2607558-TRNE (OH)

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About NPI 1093396038

Shilah Kidd, CT's National Provider Identifier is 1093396038, issued on Apr 20, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cleveland, OH. The record was last updated on May 1, 2026.