Provider Demographics
NPI:1881419471
Name:BARBAROSSA, SHAKIRA (LMHC)
Entity type:Individual
Prefix:
First Name:SHAKIRA
Middle Name:
Last Name:BARBAROSSA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2467 BEEF RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34286-9265
Mailing Address - Country:US
Mailing Address - Phone:941-447-2691
Mailing Address - Fax:
Practice Address - Street 1:2467 BEEF RD
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34286-9265
Practice Address - Country:US
Practice Address - Phone:352-672-2410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-19
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH26154101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty