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Provider Information for 1881325785


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SHAYNA RAYMAN LMHC


Sex: Female

NPI: 1881325785
Last Updated: 2022-06-21
Certification Date: 2022-06-21

Details

NameValue
NPI1881325785
Enumeration Date2022-06-21
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 39W063 PATRICIA LN
GENEVA, IL 60134-4813
United States

Phone: 305-528-2163 | Fax:
 
Primary Practice Address 6155 N OCEAN BLVD
OCEAN RIDGE, FL 33435-5209
United States

Phone: 954-439-5386 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthIL180.012090
Yes 101YM0800X - Counselor - Mental HealthFLmh11511