Provider Demographics
NPI:1184030421
Name:STRAIT, NITASHA (LMFT)
Entity Type:Individual
Prefix:
First Name:NITASHA
Middle Name:
Last Name:STRAIT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:NITASHA
Other - Middle Name:
Other - Last Name:SWISHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:123 S BROAD ST STE 1835
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19109-1008
Mailing Address - Country:US
Mailing Address - Phone:267-495-5441
Mailing Address - Fax:
Practice Address - Street 1:123 S BROAD ST STE 1835
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19109-1008
Practice Address - Country:US
Practice Address - Phone:267-495-5441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
PAPA000935106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist