Provider Demographics
NPI:1386388338
Name:REED, CHRISHANNA A'YANNA (MS)
Entity type:Individual
Prefix:
First Name:CHRISHANNA
Middle Name:A'YANNA
Last Name:REED
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 260511
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-7511
Mailing Address - Country:US
Mailing Address - Phone:786-897-4357
Mailing Address - Fax:
Practice Address - Street 1:701 SW 109TH AVE APT 108
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-7122
Practice Address - Country:US
Practice Address - Phone:786-897-4357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty