Shea, Josephine Mary

Shea, Josephine Mary is an sole proprietor health care provider with primary practice located at 263 Port Richmond Ave , Staten Island NY 10302-1704. 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. Shea, Josephine Mary can be contacted via phone (718) 981-8117.

Contact Information

Primary practice address
263 Port Richmond Ave Staten Island NY 10302-1704
Phone: (718) 981-8117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9348 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 002158 New York

Profile Details

NPI number 1184995508
LBN Legal business name Shea, Josephine Mary
Credentials LMHC,CRC,CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2012
Last updated Jan 17th, 2012 - about 12 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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