Provider Demographics
NPI:1063752996
Name:GATAUTIS, SHAYNA ELIZABETH (LMHC)
Entity type:Individual
Prefix:
First Name:SHAYNA
Middle Name:ELIZABETH
Last Name:GATAUTIS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SHAYNA
Other - Middle Name:ELIZABETH
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:8 ROCK POND AVE
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01833-1416
Mailing Address - Country:US
Mailing Address - Phone:207-475-6575
Mailing Address - Fax:774-250-2693
Practice Address - Street 1:77 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-1193
Practice Address - Country:US
Practice Address - Phone:508-589-5333
Practice Address - Fax:774-250-2693
Is Sole Proprietor?:No
Enumeration Date:2013-03-01
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10477101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health