What is Shanita Randolph's NPI number?

The NPI number assigned to this healthcare provider is 1407354269, enumerated as a individual on January 26, 2018.

Where is the provider located?

The provider is located at 4300 SW 13TH ST GAINESVILLE, FL 32608 and the phone number is (352) 374-5600.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

SHANITA RANDOLPH - NPI 1407354269 - Counselor in Gainesville, FL

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About Shanita Randolph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANITA RANDOLPH (NPI 1407354269) is an individual counselor in Gainesville, Florida and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1407354269

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSHANITA RANDOLPH

Location Address4300 SW 13TH STGainesville, FL 32608-4006

Mailing Address4300 Sw 13th StGainesville, FL 32608-4006

Phone(352) 374-5600

Sole ProprietorNo

Enumeration DateJanuary 26, 2018

✔ NPI 1407354269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4300 SW 13TH ST, Gainesville, FL 32608

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