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

Shaun Michael Anderson

Individual provider Mental Health Counselor · NPI 1063019057

Shaun Michael Anderson is a Mental Health Counselor in Gainesville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

235 S Main St Ste 203
Gainesville, FL 32601-6585
Phone: (352) 363-5410
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMH19279 (FL)

Record details

NPI number1063019057
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 3, 2020
Last updated in NPPESOctober 3, 2020
Certification dateOctober 3, 2020
Mailing address235 S Main St Ste 203, Gainesville, FL 32601-6585

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