Shah, Dhara

Shah, Dhara is an individual health care provider with primary practice located at 110 N Ocean Ave Ste B , Patchogue NY 11772-2015. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Shah, Dhara can be contacted via phone (973) 870-1972.

Contact Information

Primary practice address
110 N Ocean Ave Ste B Patchogue NY 11772-2015
Phone: (973) 870-1972
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 32618 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 008203 New York

Profile Details

NPI number 1497264220
LBN Legal business name Shah, Dhara
Credentials LMHC, CASAC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2017
Last updated Jun 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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