Provider Demographics
NPI:1881325785
Name:RAYMAN, SHAYNA (LMHC)
Entity type:Individual
Prefix:
First Name:SHAYNA
Middle Name:
Last Name:RAYMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39W063 PATRICIA LN
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-4813
Mailing Address - Country:US
Mailing Address - Phone:305-528-2163
Mailing Address - Fax:
Practice Address - Street 1:6155 N OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:OCEAN RIDGE
Practice Address - State:FL
Practice Address - Zip Code:33435-5209
Practice Address - Country:US
Practice Address - Phone:954-439-5386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.012090101YM0800X
FLMH11511101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health