MEDICARE: CHLOE JAMES SHEA

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		NY

General Provider Information

NPI Number	:	1760362040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE JAMES SHEA

Provider Business Mailing Address
First Line	:	104 BARR LN
Second Line	:
City	:	MONROE
State	:	NY
Zip	:	10950-4940
Country	:	US
Telephone Number	:	914-236-0692
Fax Number	:

Provider Business Practice Location Address
First Line	:	237 MAMARONECK AVE STE 200
Second Line	:	SUITE 200
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-1318
Country	:	US
Telephone Number	:	914-236-0692
Fax Number	:

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

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	09/05/2025

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Directions to “ CHLOE JAMES SHEA ” Practice Location

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