Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shanique Ebanks

Individual provider Mental Health Counselor · NPI 1578937918

Shanique Ebanks is a Mental Health Counselor in Fort Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2015
Specialties on file
3

Practice location Address checks out

2900 W Prospect Rd
Fort Lauderdale, FL 33309-2519
Phone: (954) 731-5100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW14586 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence SW14586 (FL)
Social Worker Taxonomy 104100000X

Record details

NPI number1578937918
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 23, 2015
Last updated in NPPESOctober 8, 2018

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