Healthcare Provider Details

I. General information

NPI: 1093653750
Provider Name (Legal Business Name): SHEBRA RENE REED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 IVES DAIRY RD STE 228
MIAMI FL
33179-2538
US

IV. Provider business mailing address

2465 NW 179TH TER
MIAMI GARDENS FL
33056-3626
US

V. Phone/Fax

Practice location:
  • Phone: 305-724-4159
  • Fax:
Mailing address:
  • Phone: 305-218-1835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH25365
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: