MEDICARE: SHALEANA EUBANKS-WORLDS

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1790140523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHALEANA EUBANKS-WORLDS

Provider Business Mailing Address
First Line	:	10720 FALLOW TRL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-2078
Country	:	US
Telephone Number	:	407-591-1146
Fax Number	:	407-656-9161

Provider Business Practice Location Address
First Line	:	6889 W COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-6827
Country	:	US
Telephone Number	:	407-591-1146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2015
Last Update Date	:	02/08/2016

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Directions to “ SHALEANA EUBANKS-WORLDS ” Practice Location

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