Provider Demographics
NPI:1437739208
Name:SHAO, HANYA (LMHC)
Entity Type:Individual
Prefix:
First Name:HANYA
Middle Name:
Last Name:SHAO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:VERA
Other - Middle Name:HANYA
Other - Last Name:SHAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:244 MADISON AVE # 1652
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2817
Mailing Address - Country:US
Mailing Address - Phone:646-481-7805
Mailing Address - Fax:
Practice Address - Street 1:244 MADISON AVE # 1652
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2817
Practice Address - Country:US
Practice Address - Phone:646-481-7805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-14
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP107887101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health