Provider Demographics
NPI:1740940949
Name:FEREBEE, SHAWNTEL (LMHC, CASAC-T)
Entity type:Individual
Prefix:
First Name:SHAWNTEL
Middle Name:
Last Name:FEREBEE
Suffix:
Gender:
Credentials:LMHC, CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-1803
Mailing Address - Country:US
Mailing Address - Phone:516-260-0155
Mailing Address - Fax:
Practice Address - Street 1:205 HUDSON ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1803
Practice Address - Country:US
Practice Address - Phone:347-391-8712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-29
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0101YA0400X
NY015502101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty