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General NPI Number Information
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NPI Number | 1013446194
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Entity Type | Individual
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Provider Name | SHAWNDRE MARIE LEYDON LMHC
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Gender | Female
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 8505 S US HIGHWAY 1
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-3346
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Country | US
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Telephone | 772-353-2485
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Fax | 772-264-6291
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Provider Business Mailing Address
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Address Line | 8505 S US HIGHWAY 1
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-3346
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Country | US
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Telephone | 772-353-2485
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Fax | 772-264-6291
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH20160
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC01069400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CC8175
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMHC10000080
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License Number State | MA
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