Provider Demographics
NPI:1326551359
Name:HEYMAN, SHAUNA B (LISW-SUPV)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:B
Last Name:HEYMAN
Suffix:
Gender:
Credentials:LISW-SUPV
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:B
Other - Last Name:HARRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4232 EASTLEA DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-2852
Mailing Address - Country:US
Mailing Address - Phone:614-315-5831
Mailing Address - Fax:
Practice Address - Street 1:4232 EASTLEA DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-2852
Practice Address - Country:US
Practice Address - Phone:614-315-5831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-13
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1101403-S1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH14136095Medicaid