Doctor Name: | MS. SHILPA SHAH |
NPI Number: | 1033380811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC003255 |
Business Practice Address: | 1899 Parker Ct Stone Mountain, GA - 300873445 |
Business Phone Number: | 6789871020 |
Business Fax Number: | 6789871019 |
Mailing Address: | 1899 Parker Ct, STONE MOUNTAIN |
State: | GA |
Postal Code: | 300873445 |
Phone Number: | 6789871020 |
Fax Number: | 6789871019 |
NPI Enumeration Date: | 03/19/2008 |
NPI Last Update Date: | 03/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC003255 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |