Provider Demographics
NPI:1093072159
Name:ESPINOSA, SHAYANNA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SHAYANNA
Middle Name:
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHAYANNA
Other - Middle Name:
Other - Last Name:TRIMBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:404 N MORGAN DR
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-6947
Mailing Address - Country:US
Mailing Address - Phone:405-641-2639
Mailing Address - Fax:
Practice Address - Street 1:6803 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139
Practice Address - Country:US
Practice Address - Phone:405-641-2639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-13
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200464560AMedicaid
OK200464560BMedicaid