Doctor Name: | MRS. SHEVANDA ARTRECE HAYWOOD |
NPI Number: | 1114354909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | |
Business Practice Address: | 2711 W 15th St Panama City, FL - 324011366 |
Business Phone Number: | 8507696001 |
Business Fax Number: | |
Mailing Address: | 80 N Charles Willis Dr, 80 N Charles Willis Drive MIDWAY |
State: | FL |
Postal Code: | 323434204 |
Phone Number: | 8506731695 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2013 |
NPI Last Update Date: | 10/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy 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 |