Davena Shabazz, MSW, CBHCMS

NPI 1801302112 · on the registry since 2017 · sole proprietor

Practice

Address: 2860 Saint Augustine Dr
Orlando, FL 32825
Phone: (407) 470-3630
Fax: (407) 270-5935
Organisation at this address: Beautiful Minds Targeted Case Management
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 171M00000X
171M00000X
Also registered as: 171M00000X
1041C0700X
104100000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida