DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SHAVONE JANE REESE I

MEDICARE: SHAVONE JANE REESE I
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 Counselor014485NY

General Provider Information

NPI Number : 1396274650
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAVONE JANE REESE I
Provider Business Mailing Address
First Line : 15 2ND AVE FL 3
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-2711
Country : US
Telephone Number : 718-514-6007
Fax Number :
Provider Business Practice Location Address
First Line : 15 2ND AVE FL 3
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-2711
Country : US
Telephone Number : 718-514-6007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2017
Last Update Date : 11/24/2025

Similar Medicare Providers

1699607994 — YASMIN ABDELGADIR ABDELGADIR CASAC-T
Practice Location Address:
15 2ND AVE
BROOKLYN, NY
11215-2711
Practice Phone: 718-514-6007
Practice Fax:
1679873020 — MR. RAY V. FACEY CASAC
Practice Location Address:
15 2ND AVE FL 3
BROOKLYN, NY
11215-2711
Practice Phone: 718-514-6007
Practice Fax:
1831522895 — ROSYNEL VARGAS
Practice Location Address:
15 2ND AVE
BROOKLYN, NY
11215-2711
Practice Phone: 718-514-6009
Practice Fax:
1912314881 — FAROOQ KAZI
Practice Location Address:
15 2ND AVE
BROOKLYN, NY
11215-2711
Practice Phone: 718-514-6007
Practice Fax:
1619349180 — MR. KIRK CHISHOLM LCSW, MASTER CASAC
Practice Location Address:
15 2ND AVE
BROOKLYN, NY
11215-2711
Practice Phone: 212-966-9537
Practice Fax: 212-584-5450
1437503786 — CHARRISE MCCLELLAN PMHNP
Practice Location Address:
15 2ND AVE
BROOKLYN, NY
11215-2711
Practice Phone: 212-966-9537
Practice Fax:

Directions to “ SHAVONE JANE REESE I ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.