Individual
SHAKEEMA REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 FOLEY ST SE, PALM BAY, FL 32909-8218
(678) 508-2171
Mailing address
113 FOLEY ST SE, PALM BAY, FL 32909-8218
(678) 508-2171
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/02/2023
Last updated
10/14/2025
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