MEDICARE: ANISHA SHAH LPC-S

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	101Y00000X	Counselor	62341	TX

General Provider Information

NPI Number	:	1952574451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANISHA SHAH LPC-S

Provider Business Mailing Address
First Line	:	2150 S CENTRAL EXPY
Second Line	:	SUITE 200
City	:	MCKINNEY
State	:	TX
Zip	:	75070-4070
Country	:	US
Telephone Number	:	469-219-3256
Fax Number	:	469-562-0118

Provider Business Practice Location Address
First Line	:	120 S CENTRAL EXPY
Second Line	:	SUITE 107
City	:	MCKINNEY
State	:	TX
Zip	:	75070-3742
Country	:	US
Telephone Number	:	972-542-2945
Fax Number	:	972-542-2945

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

Provider Enumeration Date	:	04/07/2008
Last Update Date	:	12/08/2016

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Directions to “ ANISHA SHAH LPC-S” Practice Location

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