Provider Demographics
NPI:1629535877
Name:SHAYA, BARBARA J (LPC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:SHAYA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 S ADAMS RD STE 242
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6979
Mailing Address - Country:US
Mailing Address - Phone:248-558-0950
Mailing Address - Fax:
Practice Address - Street 1:725 S ADAMS RD STE 242
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6979
Practice Address - Country:US
Practice Address - Phone:248-558-0950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011477101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health