Provider Demographics
NPI:1194968099
Name:SEXTON, SHAYNA BROOKE (MED, EDS, NCC)
Entity type:Individual
Prefix:MRS
First Name:SHAYNA
Middle Name:BROOKE
Last Name:SEXTON
Suffix:
Gender:F
Credentials:MED, EDS, NCC
Other - Prefix:
Other - First Name:SHAYNA
Other - Middle Name:BROOKE
Other - Last Name:DEMANGONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:278 VILLAGE BLVD UNIT 8205
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-4006
Mailing Address - Country:US
Mailing Address - Phone:561-322-5081
Mailing Address - Fax:
Practice Address - Street 1:2001 BLUE HERON BLVD W
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-4006
Practice Address - Country:US
Practice Address - Phone:352-374-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health