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NPI Code Detail

MEDICARE: SHAYNA ELIZABETH CARMICHAEL

MEDICARE: SHAYNA ELIZABETH CARMICHAEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1376064113
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYNA ELIZABETH CARMICHAEL
Provider Business Mailing Address
First Line : 747 WEETAMOE ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02720-6134
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1052 PLEASANT ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02723-1602
Country : US
Telephone Number : 401-835-4205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2017
Last Update Date : 10/05/2023

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Directions to “ SHAYNA ELIZABETH CARMICHAEL ” Practice Location

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