Mirra, Sha'Leda

Mirra, Sha'Leda is an sole proprietor health care provider with primary practice located at 922 Sw Baya Dr , Lake City FL 32025-4209. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mirra, Sha'Leda can be contacted via phone (386) 697-8115.

Contact Information

Primary practice address
922 Sw Baya Dr Lake City FL 32025-4209
Phone: (386) 697-8115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5724 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW11702 Florida

Profile Details

NPI number 1780015214
LBN Legal business name Mirra, Sha'Leda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2013
Last updated Dec 10th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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