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NPI Code Detail

MEDICARE: MS. SHILPA SHAH LPC

MEDICARE: MS. SHILPA SHAH LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC003255GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LPC003255OTHERGALICENSED PROFESSIONAL

General Provider Information

NPI Number : 1033380811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHILPA SHAH LPC
Provider Business Mailing Address
First Line : 1919 JOHN WESLEY AVE
Second Line :
City : COLLEGE PARK
State : GA
Zip : 30337-3605
Country : US
Telephone Number : 404-762-9190
Fax Number :
Provider Business Practice Location Address
First Line : 1919 JOHN WESLEY AVE
Second Line :
City : COLLEGE PARK
State : GA
Zip : 30337-3605
Country : US
Telephone Number : 404-762-9190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2008
Last Update Date : 11/04/2024

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Directions to “ MS. SHILPA SHAH LPC” Practice Location

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