Espinosa, Shayanna
Espinosa, Shayanna is an sole proprietor health care provider with primary practice located at 6803 S Western Ave , Oklahoma City OK 73139. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Espinosa, Shayanna can be contacted via phone (405) 641-2639.Contact Information
Primary practice address
6803 S Western Ave
Oklahoma City OK 73139
Phone: (405) 641-2639
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1093072159 |
|---|---|
| LBN Legal business name | Espinosa, Shayanna |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2012 |
| Last updated | Jul 11th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093072159 | NPPES |
| Oklahoma | MEDICAID | 200464560A | |
| Oklahoma | MEDICAID | 200464560B |
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