Provider Demographics
NPI:1992502934
Name:ALLADIN, SHAUN
Entity type:Individual
Prefix:
First Name:SHAUN
Middle Name:
Last Name:ALLADIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8211 SUN SPRING CIR UNIT 33
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-4714
Mailing Address - Country:US
Mailing Address - Phone:954-536-9191
Mailing Address - Fax:954-536-9191
Practice Address - Street 1:5401 S KIRKMAN RD STE 730
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7911
Practice Address - Country:US
Practice Address - Phone:321-332-6984
Practice Address - Fax:321-332-6984
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH23115101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health