Provider Demographics
NPI:1356833107
Name:RYGIEL, SHAWNEE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:SHAWNEE
Middle Name:
Last Name:RYGIEL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SHAWNEE
Other - Middle Name:
Other - Last Name:KLASKOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:1916 FOREST VIEW DR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-6608
Mailing Address - Country:US
Mailing Address - Phone:229-444-1351
Mailing Address - Fax:
Practice Address - Street 1:34650 US 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-2172
Practice Address - Country:US
Practice Address - Phone:727-493-4490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15907101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health