MEDICARE: MS. ASHANTI SHAKIR LMFT

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
1	106H00000X	Marriage & Family Therapist	NVMFT01383	NV
2	106H00000X	Marriage & Family Therapist	MFT001511	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144656513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ASHANTI SHAKIR LMFT

Provider Business Mailing Address
First Line	:	9861 MERCER ESTATES CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-8758
Country	:	US
Telephone Number	:	702-426-0213
Fax Number	:

Provider Business Practice Location Address
First Line	:	9861 MERCER ESTATES CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-8758
Country	:	US
Telephone Number	:	702-861-5445
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2013
Last Update Date	:	10/16/2024

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