MEDICARE: SHIVANI S BHARAT

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	101YM0800X	Mental Health Counselor	APC010721	GA

General Provider Information

NPI Number	:	1376406462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIVANI S BHARAT

Provider Business Mailing Address
First Line	:	5827 SUFFEX GREEN LN
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-6118
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2850 JOHNSON FERRY RD STE 200250
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-5684
Country	:	US
Telephone Number	:	678-691-8130
Fax Number	:

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

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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Directions to “ SHIVANI S BHARAT ” Practice Location

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